Make an appointment

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.

First Name *

Last Name *

Phone *

Email address

Are you a current patient?

Patient Availability

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

Preferred time(s) for an appointment?

Reason For Visit

Please describe the nature of your appointment?