Appointment Request

Call (561) 795-7133

The first step towards a beautiful, healthy smile is to schedule an appointment.

 
Please text (201) 877-5925 to schedule an appointment or fill out the form below or call us at (561) 795-7133.

Our scheduling coordinator will contact you to confirm your appointment.

Hours:

Monday             8:00 AM - 4:00 PM
Tuesday             8:00 AM - 4:00 PM
Wednesday      8:00 AM - 4:00 PM
Thursday           8:00 AM - 4:00 PM
Friday                 8:00 AM - 4:00 PM
Saturday           Emergencies Only
Sunday              Emergencies Only

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

Dental Health

As dental professionals it is our priority to provide quality dental care you can trust.

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