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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. We will contact you back to get your new patient visit started (please note - if you are sending your appointment request outside of regular office hours, we will return your call or email on our next business day).   We are open Tuesdays  and Wednesdays from 8:30am-6pm, Thursdays, Fridays and  two Saturdays a month from 8:30am-4:30pm.

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

*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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