Appointment Request

The first step towards a beautiful smile is to schedule an appointment at our office. Please contact us by phone or complete the appointment request form below. Our scheduling coordinator will help find an appointment time that works best for you. 

Office Hours:

Monday 8:30am - 5:30pm
Tuesday 8:30am - 5:30pm 
Wednesday 8:30am - 5:30pm 
Thursday 8:30am - 5:30pm 
Friday 9:00am - 12:00pm 

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.


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Office Location

  • Taylorsville
  • 3105 West 5400 South
  • Taylorsville, Utah
  • 84129
  • Map & Directions
  • Call: (801) 969-6236