The first step toward your child’s healthy, happy smile is easy - just let us know you’d like to visit. Complete the request form below and our friendly team will get back to you to schedule a time that fits your family’s schedule. New patients from Peoria, Arrowhead, Glendale, Sun City, and Surprise are always warmly welcomed!
Please note: this form is for requesting an appointment. If you need to cancel or reschedule an existing appointment - or if your child needs immediate attention - please call us directly at (623) 572-5777. Patients of record can reach an on-call doctor 24/7 for true dental emergencies.
Appointment Request Form
Prefer to Call?
We’d love to hear from you. Call (623) 572-5777, or visit us at 7505 W Deer Valley Rd, Suite 110, Peoria, AZ 85382. New to the practice? See what to expect at your child’s first visit and complete your patient forms ahead of time.
