Appointment Request

The first step towards a  healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our office manager will contact you to confirm your appointment.

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


Office Hours
Tuesday - Wednesday - Thursday, by appointment. We do our best to make it convenient for you to receive the care you need.

Emergencies Welcome!

Patient Information

Patient Availability

Reason For Visit

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.