Request A New Dental Appointment
We apologize - our contact form is not currently functioning properly. Please visit our Smiles by Payet Dentistry Appointment Request Page to send an appointment request.| These Are The Hours Our Dental Office Is Open | ||||
| Monday | Tuesday | Wednesday | Thursday | Friday |
| 7:30 AM - 4:30 PM | 7:30 AM - 4:30 PM | 7:30 AM - 3 PM | 7:30 AM - 3 PM | CLOSED |
Are you one of our patients?
Yes, I am a current patient No, I am a new patient
Briefly explain your needs: (check-up, consultation, etc.)
Select preferred day(s) of the week for appointment:
Monday Tuesday Wednesday Thursday
Select the time of day you prefer for your appointment:
Anytime Morning Noon Afternoon
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Please provide your contact information: *required fields
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| *Your name: | |
| *Phone number: | |
| *Email address: | |
| Best time to call you: | |
How did you find out about us?
Send your request:
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Appointment requests are answered promptly; usually in less than 24 hours. Sending this form is simply a request for a dental appointment. You are not financially obligated in any way. Our office observes HIPAA Federal regulations that protect your privacy. We will never release any information about you without your consent. We are allowed to release information to your insurance company, or as necessary to get paid for our dental services. You can always have access to your patient records simply by asking us.
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