Make an appointmentUse the form below to request your appointment. Español Select an appointment type * Dental Emergency Cleaning / Check Up General Consultation Repair Select patient type * New Patient Returning Patient Do you have insurance? (We only accept PPO) * Yes No If yes, who is your insurance provider? What day of the week works best work you? * If flexible select more than one day of the week Monday Tuesday Wednesday Thursday Friday What time of the day works best for you? * Select multiple if flexible 8am to 11am 12pm to 2pm 3pm to 6pm Name * First Name Last Name Email * Phone * (###) ### #### Message Thank you! A staff member will contact you within 24 hours.