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.

​Practice Hours :
Monday : 8:00 AM - 5:30 PM
Tuesday : 8:00 AM - 5:30 PM
Wednesday : 8:00 AM - 5:30 PM
Thursday : 8:00 AM - 5:30 PM
Friday : 8:00 AM - 4:00 PM
Saturday : 8:00 AM - 1:00 PM

Additional Information :
We are open two Saturdays per month (usually the 1st and 3rd)  Closed June thru the 2nd week of September for the Summer 

Please do not use this form to cancel or change an existing appointment.
*Items in bold are required.
Are you a current patient?


Which office location(s) would you prefer for your appointment?


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.