Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.

 Office Hours 
 Monday 8:00am - 4:00pm 
 Tuesday 8:00am - 4:00pm
 Wednesday Closed 
 Thursday 8:00am - 4:00pm 
 Friday 8:00am - 4:00pm 
 Saturday 8:00am - 2:00pm 
 Sunday Closed 
 Extended emergency hours available. 

*Items in bold are required.
Are you a current patient?

Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.


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