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.

Name*
Email*
Phone*
Are you a current patient?
- Yes
- No
How did you hear about us?
Preferred day(s) of the week for an appointment?
- Any Day
- Monday
- Tuesday
- Wednesday
- Thursday
- Saturday
Preferred time(s) for an appointment?
- Any Time
- Morning
- Noon
- Afternoon
- Evening
Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Welcome To Our Dental Family

If you’re new to us, come by and introduce yourself at our dental clinic in Scottsdale, AZ. Stop by for a chat and we can show you around our State-of-the-Art facility for appointment call us.

(480) 725-1051