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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 781-284-4058 or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Office Hours: Regular office hours are as follows...


Mon:    9am-6pm
Tues:    9am-6pm
Wed:    9am-7pm
Thurs:  9am-6pm
Fri:       8am-1pm
Sat:*    8am-12pm

*Open Every Other Saturday 8am-12pm

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.):

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Missed Appointment

When we schedule your appointment, the time is reserved exclusively for you. Failure to notify us of your inability to keep an appointment, prevents another patient in need of dentistry to receive treatment. We request that you give us at least 24 hours notice when you realize that you cannot keep your appointment. When the request notice is not given, a fee of $48 per half hour scheduled will be charged.

Thank you for understanding and please let us know if you have any questions or concerns. We are pleased to welcome you as a member of our dental family!

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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