Dentist For Kids Near Me

Request an Appointment

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Appointment Request

The first step toward achieving a beautiful, healthy smile is to schedule an appointment. To schedule an appointment, please complete and submit the request form. Our scheduling coordinator will contact you soon to confirm your appointment.

Please note this form is for requesting an appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly.

Parent/Guardian Name(Required)
First Name
Last Name
Date of Birth
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    Please upload a photo of the Front AND Back of your insurance card. This will speed up the check-in process 🙂

    Appointment Info

    Children in pre-school and elementary grades are usually seen in the morning. Late afternoon appointments are reserved for middle and high school age patients.