Appointment Request

Uptown Dallas, TX Family Dentistry - Dallas Dental Specialists - Dentist in Dallas, TX

The first step towards a beautiful, healthy smile is to request an appointment. Please contact our office by phone or complete the appointment request form below. One of our team members will contact via phone to get your appointment date/time scheduled.  

This website does not allow online scheduling.

***Please do not use this form to cancel or change an existing appointment as we kindly ask for a 48 hour notice to avoid any charges. Our office policy is if the cancellation is made within  24 hours or same of the appointment time, there will be a $45 hygiene cancellation fee, or a $150 doctor/dental treatment fee

We ask that you contact the office directly and speak with one of our team members that will be happy to help you.

*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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