Appointment Request

Call 218-262-9919

Our scheduling coordinator will contact you to confirm your appointment and let you know which patient forms will need to be filled out.

Hours:

Monday 9:00am - 5:00pm
Tuesday 9:00am - 5:00pm
Wednesday 9:00am - 5:00pm
Thursday 9:00am - 5:00pm
Friday 9:00am - 5:00pm

*By Appointment Only**

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.

Smile With Confidence

As dental professionals it is our priority to provide quality dental care you can trust.

Testimonials