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Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. We understand how uneasy some people may feel about dental visits, and work at providing a relaxing and positive experience.  Please contact our dental office by phone at  (423) 870-5301. Jan or Kellie will  help with your all your appointment needs. They can also mail or e-mail new patient paper bundle to be filled out and brought with you to your appointment. PLEASE arrive 15 minutes prior to your scheduled appointment so that Jan or Kellie can review your paperwork and  medical history to help us stay informed of your overall health or any illnesses that may impact you dental health or services.

If you have dental insurance, PLEASE contact your insurance company to verify that your company has us listed as a provider. We do not make these phone calls for you.  We are very sorry but due to new regulations YOU are responsible for checking this information.

For those of you who like to receive text and e-mails, we now have a reminder service that does this. This will help for those who can not answer the phone all the time for appointment reminders.



Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Phone:
Email:
Are you a current patient?
Best time(s) to call?
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.

Please call our office for an appointment and we will either email or mail you the required forms to be filled out. (423) 870-5301  We will not call your insurance company to verify your coverage. This is the policy holder's responsibility.

If you need an appointment PLEASE call our office/ We can not check out email constantly so please call for  an appointment.