Schedule Appointment 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 to confirm your appointment. Appointment Request Name (required)*Phone (required)*Email (required)*Are you a New Patient?*Yes - I would be a new patientNo - I'm an existing patientPreferred Day of the Week for an Appointment*MondayTuesdayWednesdayThursdayFridayPreferred Time of Day for an Appointment*Early MorningLate MorningEarly AfternoonLate AfternoonPurpose of Appointment*Purpose of AppointmentNew PatientCleaning, Exam and/or x-rayDenture or partialPeriodontal treatmentFillingCrownExtractionSmile enhancements/cosmeticsClear CorrectToothache/Broken tooth2nd Opinion/ConsultationBest Time of Day to Call*Early MorningLate MorningEarly AfternoonLate Afternoon