Appointment Request Is this a dental emergency? YES, I would like to see a dentist ASAP. IF THIS IS A MEDICAL EMERGENCY, PLEASE DIAL 911.Please check all that apply (not required). Yes, I am an existing patient. Yes, I am interested in the $49 New Patient Special. New patients only. Not valid with any other offer. ADA Codes: D0150, D9310, D0210, D0272 or D0330, or D0274. Yes, I am interested in the $89 New Patient Special - Up to a $309 value! New patients only. Not valid with any other offer. ADA Codes: D0150, D9310, D0210, D0272, D1110 or D0330, or D0274. Yes, I am interested in the $500 Off Dental Implant Special. We offer the first dental implant consult visit for FREE! (ADA code #D6015 and value of $85.00). This is special time-limited offer for a free consultation, so we can give each patient a clear bottom line and easy payment options that are customized to fit their needs. Yes, I am interested in a complimentary Invisalign® consultation. Yes, I am interested in a complimentary Sleep Apnea consultation. Yes, I am interested in a FREE Consultation or Second Opinion. Name* First Last Email* Phone*What time of day do you prefer? Morning Early Afternoon Late Afternoon Which days of the week do you prefer? Monday Tuesday Wednesday Thursday Friday Comments or questions?Please verify by checking the box