Appointment Request

Conveniently Schedule an Appointment With Us Here 

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.

Welcome!

PLEASE NOTE:

Standard Office Hours

Monday thru Thursday:  7:30am - 4:30pm   

Lunch Hour: 1:00pm - 2:00pm

WE ARE CLOSED ON FRIDAYS

Please do not use this form to cancel or change an existing appointment.
Please call our office at (603) 610-8765 to personally reschedule.

SCHEDULED APPOINTMENTS: We make every effort to value your time and reserve your appointment time just for you. 

We truly appreciate your courtesy of giving us 48 Business Hours Notice' (Monday -Thursday)​ if you have a conflict with your appointment and need to reschedule. We are committed to your oral health and keeping your scheduled appointments allows us to be partners in your dental care. 

Missed or short notice cancellations will be assessed a $50 Missed Appointment Fee for regular cleanings and 25% of the total cost of the appointment for all other services, instead of the flat fee. 

We reserve the right to require you to place a deposit after 2 missed or short notice cancellations with less than 48 business hour notice. 


 

*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.):

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Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

14 Manchester Square Suite 215
Portsmouth, NH 03801
 call (603) 610-8765
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Office Location

  • Portsmouth
  • 14 Manchester Square
  • Suite 215
  • Portsmouth, NH
  • 03801
  • Map & Directions
  • Call: 603-610-8765
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