Appointment Request

(716) 662-7651

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Request an Appointment at Our Family Dentistry in Orchard Park & Hamburg, NY

The first step towards a beautiful, healthy smile is to schedule an appointment with our family dentist. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment. For root canals, dental implants, laser dentistry, and other dental procedures, turn to the family dentistry you can trust.

Office Hours: 

Monday 8:00am - 3:00pm
Tuesday 8:00am - 5:00pm
Wednesday 8:00am - 3:00pm
Thursday 8:00am - 5:00pm

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.

Healthy Smiles

What does your smile say about you? Let us help you radiate confidence with a healthy smile.



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