Request an Appointment

Request Appointment Form

Complete the following form to request a appointment. If you do not hear from us within two business days, please call our office at (937) 427-1749.

Fill out my online form.


Request An Appointment

Contact us today for more information or to make an appointment.

Professional Organization Memberships

AACA logo
ADA logo
Dayton Dental Society logo
Ohio Dental Association logo