Contact

We now offer 4 convenient locations!

Select a location below for contact info and directions.

Request an Appointment

Complete the form on the right to request an appointment. Your requested appointment is not confirmed until you have received a confirmation phone call or email from our office. Do not use this form if you are experiencing a dental emergency. Instead, call our office and someone will assist you right away. If you need to cancel or reschedule an appointment, please call our office. Appointment cancellations must be made by phone.

View our Appointment Cancellation Policy here.

Your First & Last Name

Phone

Select a location for your appointment

Has anyone in your family been to our practice before?

How many children would you like to schedule?

If you would like to request an appointment for more than 4 children, please call our office.

First Child's Name

Last Name

First Child's Date of Birth

What type of dental insurance does your child have?

Second Child's Name

Last Name

Second Child's Date of Birth

What type of dental insurance does your child have?

Third Child's Name

Last Name

Third Child's Date of Birth

What type of dental insurance does your child have?

Fourth Child's Name

Last Name

Fourth Child's Date of Birth

What type of dental insurance does your child have?

Message

Submit Appointment Request

Your appointment request has been sent.

An error occured.

Contact

We now offer 4 convenient locations!

Request an Appointment

EAGAN

FRIDLEY

NORTH OAKS

ST. PAUL