Request your Appointment

Ready to set up an appointment? Please follow these directions:

1. Fill out the form below with your information


2. Choose a time and day of the week that works best for you. THIS IS NOT AN APPOINTMENT CONFIRMATION. We will send you further instructions once we find an appointment close to your preferred day and time.


3. Once you submit this form, we will reach out to you to schedule an appointment based on your form submission. Again, your submission is NOT an appointment confirmation.

If you are a new patient please expect us to reach out to you via your provided email or via your phone number for further information. Thank you and we look forward to helping you achieve a healthy, happy smile!