Appointment Request

Family & Cosmetic Dentistry In Show Low 

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Office Hours:

Monday, Wed, Thursday - 8:00a - 5:00p
Tuesday - 9:00a - 5:00p 
Friday - Appointment Only


Please do not use this form to cancel or change an existing appointment. Call our Office. 
*Items in bold are required.
Are you a current patient?


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.

Office Location

  • Show Low
  • 2450 S. White Mountain Road
  • Suite 1
  • Show Low, Arizona
  • 85901
  • Map & Directions
  • Call: (928) 537-6453
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