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. 

Office Hours:

Monday          8 a.m. - 7 p.m.
Tuesday         8 a.m. - 7 p.m.
Wednesday    8 a.m. - 5 p.m.
Thursday       8 a.m. - 5 p.m.
Friday            8 a.m. - 5 p.m.
(Call for availability of Saturday appointments)

Note to parents of children under 18: Please arrange to remain at our office during your child’s appointment until your authorization can be obtained for necessary treatment.


Please be advised that a $25 fee will be charged for appointments canceled with less than 24 hours prior notice and for failed appointments.

Please do not use this form to cancel or change an existing appointment.

Items in bold are required.
Are you a current patient?
Best time(s) to call?
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.