Appointment Request

HomeAppointment Request

We are looking forward to meeting you! Please fill out the form below to request an appointment. We will get back with you as soon as possible.

If you need to reschedule an existing appointment, or if you have a dental emergency, please call us at 701-746-1481.

Name *

First

Last

Email *

Phone *

Select preferred days of week for appointment:

(multiple selections allowed)

Preferred time of day:

(optional)

Do you have a specific date in mind?

mm/dd/yy

What kind of appointment do you need?

(you can select more than one)

Please let us know anything else you feel is important about your first visit.

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Regular dental checkups help in detection of early warning signs of certain health related issues. Visit your dentist regularly and stay healthy.

Trusted by over 2,000 People

117 N Washington Street
Grand Forks, North Dakota 58203

(701) 746-1481