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. Our scheduling coordinator will contact you to confirm your appointment.

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

Hours:

Monday8:00am - 5:00pm
Tuesday9:00am - 5:00pm
Wednesday8:00am - 5:00pm
Thursday8:00am - 5:00pm
FridayCLOSED
Saturday8:00am - 1:00pm

*If this is for a dental emergency, please call 801-782-9269 for a quicker response

*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.

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