Request an Appointment for Dental Checkup

Same Day & Next Day Appointments Are Available!

Call our office at (480) 994-5225 between our office hours to request an appointment immediately.

PLEASE NOTE: This form is for requesting a call back for scheduling an appointment. We will try our best to accommodate your preferred time and date. One of our team members reach out to you upon completing this form.

Make An Appointment

New Patient

Existing Patient

First Name*

Last Name*

Phone Number*

Email Address*

Preferred Appointment Date*

Preferred Time*

Appointment Type

Comment*

Please do not submit any Protected Health Information (PHI). Your requested appointment is tentative and will be confirmed by the staff member.

Office Hours

Mon-Thu:	8:00 AM - 5:00 PM
Fri:	8:00 AM - 3:00 PM
Sat-Sun:	CLOSED

New patients can fill in their registration form online. Save the hassle of filling out paperwork in the office!

Go to Online Patient Registration Form

COVID-19 Update

Request an Appointment

Same Day & Next Day Appointments Are Available!

Make An Appointment

Office Hours

New patients can fill in their registration form online. Save the hassle of filling out paperwork in the office!