The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone at (248) 852-1820 or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please provide your name, telephone number, and best time to be reached and someone will call you as soon as possible.  Also please list the procedure(s) that you are interested in. 

We pride ourselves in having the most high tech, beautiful, friendly office in the area so please pass this website on to a friend or family member.  We would like to be their new Dentist as well as yours.


Please do not use this form to cancel or change an existing appointment.


*Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Email:
Phone:  
Are you a current patient?
Best time(s) to call?

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.