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: Closed
Tuesday: 8:00 AM - 5:00 PM  ( Lunch from 12-1pm times may vary by appointment)
Wednesday: 8:00 AM - 5:00 PM  ( Lunch from 12-1pm times may vary by appointment)
Thursday: 8:00 AM - 5:00 PM  ( Lunch from 12-1pm times may vary by appointment)
Friday: 8:00 AM - 4:00 PM  ( Lunch from 12:00pm - 12:30pm times may vary by 
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.

Contact Us. We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.




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