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 within 48 hours to schedule your appointment.

We are proud to be an in-network provider with Blue Cross Blue Shield.  If you have questions about your specific plan or coverage, feel free to contact our office for assistance.

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


Office Hours: 

Mon: 8:00am - 5:00pm
Tues: 7:00am - 5:00pm
Wed: 7:00am - 5:00pm
Thurs: 7:00am - 5:00pm
Fri: 8:00am - 1:00pm

 
*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.