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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.

There is a charge for missed or canceled appointments without 24 hour notice. Please do not use this form to cancel or change an existing appointment.


Business Hours 

MON-THURS 7am-5pm

FRIDAY Closed



Patient Information

Patient Availability

Reason For Visit

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

195 S Main St|Middletown, Connecticut 06457-3760|MAP & Directions

Call: (860) 346-2470