Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment! Please contact our office by PHONE (979. 543. 2411), or complete the following appointment request form below: 

Please do NOT use this form to cancel or change an existing appointment if you can call us.

(Please allow some time for our scheduling coordinator to receive the online form AND contact you regarding your question or appointment request.)

Regular Office Hours: **
Mon:   8:45am-12pm, 1:00pm- -3:30pm
Tues:  8:45am-12pm, 1:00pm- -3:30pm
Wed:   8:45am-12pm, 1:00pm- -3:30pm
Thurs: 8:45am-12pm, 1:00pm- -3:30pm
- ** Occasional changes in office hours due to weather or local events may happen without prior notice: PLEASE Feel free to CALL us to confirm your appointment before coming in!

Additional hours:  By Appointment Only -
(Please feel free to leave us a message, and if it is NOT an emergency, please allow some time for us to reach back to you.)

*** If you have an life-threatening emergency that needs immediate attention, please dial 9-1-1. Thank you!

NOTE: Messages sent using this form are Not considered secure. Please contact our office by telephone if sending confidential or private information.

*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.):

We may offer seasonal SPECIALS or DISCOUNTS to help you get started easier! - Please check out our SPECIALS page.


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