Request an Appointment

Fill out the form below and our team will reach out to confirm your visit

Appointment Request Form

Prefer to call? Reach us at (916) 543-8800. Otherwise, submit a request below and our team will contact you to confirm your preferred time.

We typically respond to requests within one business day. For urgent needs, please call (916) 543-8800.

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Format: (000) 000-0000
Do you have dental insurance?
What days work best for you?
What time works best for you?

Please note: this appointment time is not guaranteed. Our team will contact you to confirm an available time. For your privacy and security, please do not submit protected health information (PHI) through this form. Information submitted is sent to our office via email and is not transmitted through a secure messaging system.

For urgent dental needs, please call (916) 543-8800.

Prefer to call? We are happy to help.

Call (916) 543-8800