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Request an Appointment

When requesting an appointment with us please make sure to tell us what type of dental insurance you have, if any; as well as a brief description of your dental concern.  Please also include a phone number where you can be reached during the day.  We look forward to seeing you soon!  Thank you!

Contact information

First Name
Last Name
Phone

Appointment details

Preferred Date
Alternative Date 1
Alternative Date 2
Time
Reason for Appointment
Comments and Questions
Maximum of 250 characters

Please note that the date and time you requested may not be available. We will contact you to confirm your actual appointment details.

40 Winter St Ste 201
STE 201
Rochester, NH 03867

Mon: 8:00AM - 5:00PM

Tue: 8:00AM - 6:00PM

Wed: 8:00AM - 5:00PM

Thu: 8:00AM - 6:00PM

Fri: 8:00AM - 5:00PM

Sat - Sun: Closed