Book an Appointment

If you would like to request an appointment for a consultation or any of our services, please fill out the form below and send it to us by clicking the Send Form button. Note that this is only a request form. You will be scheduled once the details of your appointment have been verified and confirmed over the phone. Please ensure that your contact information is correct.

Alternatively, or if it is an emergency, feel free to call us at (913) 236-8899 for priority scheduling. We welcome emergencies and new patients, and will get you in within hours of your call.

Office Hours

Monday 8 a.m. to 6 p.m.
Tuesday 8 a.m. to 5 p.m.
Wednesday 8 a.m. to 5 p.m.
Thursday 8 a.m. to 5 p.m.
Friday 8 a.m. to noon
2nd Saturday of Month 8 a.m. to 2 p.m.

* Items in Red Are Required

* First Name
* Last Name
Address
City, State, Zip , ,
* Email
* Phone
   How would you prefer us to contact you?
 

   What date and time would you prefer for your appointment?
                  Date Any Date    (mm/dd/yy)
Time Any Time
Early-Mid Morning
Mid-Late Morning
Early-Mid Afternoon
Mid-Late Afternoon
What type of an appointment do you need?
Cleaning
Toothache
Cosmetic/Smile Makeover Consultation
Clear Braces Consultation
Is there anything else we should know?
 
     
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