Request an appointment

For emergency dental appointments, please call
(412) 683-3304 to speak to a member of our staff during office hours, or to someone from our 24-hour, 7-days-a-week answering service after hours and on Sundays.

First Name  


 MI  
Last Name  

Reason for appointment

Preference #1

Date / /
For online requests to be considered, please select a
weekday or Saturday at LEAST seven (7) days away.

Select all that apply.
Time Early Mid Late
Morning
Afternoon

Preference #2

Date / /
For online requests to be considered, please select a
weekday or Saturday at LEAST seven (7) days away.

Select all that apply.
Time Early Mid Late
Morning
Afternoon

Valid Email Address  (Required)

Dental appointments that are requested through our website require patient confirmation within two days of our response.
 

NEW PATIENTS must provide new patient forms complete with signatures in advance of any consultation, examination or treatment.

NEW PATIENTS can submit forms by e-mail, by fax, or in person.

Want to confirm your time sooner? Give us a call.

(412) 683 - 3304