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Appointment Request

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.
*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.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

Testimonials

It is always such a good experience at Dayton Dental. They have my trust completely, and their knowledge and competence are top level. I would recommend them to anyone! On a personal note, it’s always fun to visit with the staff. Everyone’s so caring and friendly.

Marlene S.

An outstanding experience considering I was getting a temporary crown! Very efficient, explained what was going on during the procedure, used a new numbing technique that did not cause my face to swell up and very efficient and polite. An excellent experience! Thanks!

Anne W.

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