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.

Office Hours
Monday 9:00 am - 5:30 pm
Tuesday 12:00 pm - 7:00 pm
Wednesday 8:30 am - 700 pm
Thursday 9:00 am - 6:00 pm
Friday 9:00 am - 1:00 pm
Friday - Orthodontist  9:00am - 5:00pm
Saturday Upon Appointment Only

Please do not use this form to cancel or change an existing appointment. We do highly suggest that you call the office at 856-694-5555 to make sure the appointment time you are requesting is available.  Our staff will contact you once we receive your request.

*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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Office Location

  • Franklinville
  • 2005 Delsea Dr Plaza
  • Franklinville, New Jersey
  • 08322
  • Map & Directions
  • Call: (856) 694-5555