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Request an appointment

Prefer to talk? Call (601) 825-1105, Mon–Thu 8:00 am – 5:00 pm · Fri–Sun closed.

Request an appointment

Tell us how to reach you and when you’re free. We’ll call to confirm a time — this form doesn’t book the appointment by itself.

Are you a new or existing patient?
Days that work for you
Preferred time of day

Please don't include health details. We'll discuss those by phone.

Required

We use this information only to contact you about scheduling. See our website privacy policy. For a dental emergency, call (601) 825-1105.

What happens next

  1. Our scheduling coordinator calls you to find a time.
  2. You fill out your patient forms online before your visit.
  3. You come in, and we take it from there.

Need to change an appointment?

Please call us — this form isn’t for changes or cancellations.

Dental emergency?

Don’t wait for a call back. Call (601) 825-1105 now, or see what to do in a dental emergency.