Appointment Request


The first step towards a healthy, functional, beautiful mouth is only an appointment away.

Please contact our office by phone at (410) 997-5699, or 
simply complete the form below and click on Send Request.

(Please do NOT use this form to cancel or change an existing appointment.)


Office Hours

Mon  8:40 AM - 5:30 PM

Tue  8:40 AM - 5:30 PM

(Wed  Closed)

Thu  8:40 AM - 5:30 PM

Fri  8:40 AM - 5:30 PM

Sat  8:40 AM - 5:30 PM

(Sun  Closed)

Fees will be charged for cancellation without 48-hour notice, or failure to show, at the discretion of the office.

Thank you, and we look forward to being of service to you!

*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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