Appointment Request

Call (803) 716-8054

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.

Office Hours:

Monday, Wednesday, and Friday 7:30am - 4:00pm
*Closed for lunch from 12:00pm - 1:00pm

Please do not use this form to cancel or change an existing appointment.

Walk in Extractions are welcome
If you have any questions please call the office
(803) 716-8055

*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.

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