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Request An Appointment

Scheduling an Appointment is Easy

During your first appointment, we will learn more about your health history, take and review x-rays, do an oral exam, and discuss your treatment options.

First Name *

Last Name *

Email Address *

Phone Number *

Have you scheduled an appointment with us before?

Do you have a referral from your Dentist/Physician? *

Location *

Message

By submitting this form, you agree to be contacted by phone, email or text and that any associated call may be recorded for quality and training purposes. This form should not be used to transmit private health information, and we disclaim all warranties with respect to the privacy and confidentiality of any information submitted through this form.

Before you arrive for your first appointment you will be asked to provide:

New Patient Registration Information

This includes your contact and insurance information as well as a list of your current medications. You can complete this online, prior to your visit, or please arrive thirty minutes prior to your appointment to complete the paperwork.

A Panoramic X-RAY

If you have an x-ray that was taken within the last year, please ask your dentist/orthodontist to provide. If not, we will take a digital panoramic x-ray during your initial visit.

Location & Contact

Greeley Office

1831 65TH AVE, SUITE 3 GREELEY, CO 80634

970.661.2982

Thornton Office

12880 COLORADO BLVD. SUITE 100 THORNTON, CO 80241

303.451.6767