Call: (623) 537-9777

Appointment Request

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

Please do not use this form to cancel or change an existing appointment.
*Items in bold are required.
Are you a current patient?


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.

Testimonials

Wonderful treatment with Dr Micah and very friendly staff. Appointment was for 2:30 right on time. Can’t recommend this family dentistry enough. “ Rolfe Family Dentistry “

Donna G

Everyone in this clinic is very friendly. Michelle is amazing. She has been taking care of my teeth for the past five or so years and my teeth have never been this healthy. Highly recommend this clinic!

Lara P

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