Request an Appointment

NOTE: This is not a confirmed or scheduled appointment. This is only a request to schedule an appointment. If your requested time is not available, your will be notified via email with a new date and time. If you’re ready to schedule an appointment at a DentalWorks office near you we can help, with over 140 locations in 13 states providing comfortable, quality dental care for your entire family. Please complete the form below to connect with our scheduling specialists and schedule your next dentist appointment. If this an emergency, please call the office directly or call 911.

(xxx) xxx-xxxx
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Please tell us what type of insurance you have (Insurance Company, Medicaid, Self Pay, etc.)
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This is the location where you plan to be seen
Tell us more about your appointment