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Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our North Bismarck , South Bismarck or Mandan dental clinic or complete the appointment request form below. Our scheduling coordinators will contact you to confirm your appointment. 

 

Clinic Hours:

Monday–Thursday: 7:00am – 5:00pm
Friday: 7:00am - 3:00pm


Every attempt will be made to accommodate your request. We will call to discuss your appointment.

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

*Items in bold are required.

Which office location(s) would you prefer for your appointment?



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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Note: Messages sent using this form are not considered private. Please contact either of our dental offices by telephone if sending highly confidential or private information.