Appointment Request

Your name *

Patient DOB *

Phone number *

Email Address *

Patient Type *

New Patient

Exisiting Patient

Treatment Type *

Teeth Cleaning

See the Dentist

Preferred Date *

Preferred Time *

Morning

Afternoon

Special Notes

I agree to send my personal data.

Thank you for your request. It has been sent to our appointment coordinator who will be in touch shortly.

There was an error trying to send your request. Please try again later or contact our offices.

OUR HOURS
Monday – 8 AM to 5 PM
Tuesday – 7 AM to 3:00 PM
Wednesday – 7:30 AM to 4:30 PM
Thursday – 7:30 AM to 2:30 PM
Friday – Closed

CONTACT US
2860 Johnson Ferry Road
Suite # 100
Marietta, Georgia 30062