Request an Appointment

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

Please do not use this form to change an existing reservation with our office. 
*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.):