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. Maggie, our scheduling coordinator, will contact you to confirm your appointment.

Office Hours:
Mondays, Tuesdays and Wednesdays: 8:00AM - 4:00PM
Thursdays: 8:00AM - Noon

Please note:  this form CAN NOT be used to cancel or change an existing appointment.




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.