Appointment Request

The first step toward achieving a beautiful, healthy smile is to schedule an appointment. To schedule an appointment, please complete and submit the request form below. Our scheduling coordinator will contact you soon to confirm your appointment.   

Consultations for children to age 18 are complimentary.  We do charge $175 for adults, aged 19-99, because their consultations are more time consuming for our doctor.  We credit this amount back to you if you begin treatment with us!

Please note this form is for requesting an appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly.

Contact Information:

Bold fields are required.

 

Back to Top sesame communicationsWebsite Powered by Sesame 24-7™ | Site Map
Contact Us!
call email