Call for an appointment: Royal Oak, MI (248) 547-2111

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.

Please note a few choices of days and or times you are available in the box.

*Items in bold are required.
Name:  
Address:
City:
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Email:
Phone:  
Are you a current patient?
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Preferred day(s) of the week for an appointment?
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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.