Miles of Smiles Family Dentistry
Changing lives one smile at a time

Appointment Request

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.

You can fill out the form below to contact us directly to schedule your next appointment. We check our emails every day and will get back to you within 48 hours on business days.

Working Hours

Monday:8:30 a.m. to 5:30 p.m.
Tuesday:8:30 a.m. to 5:30 p.m.
Wednesday:8:30 a.m. to 5:30 p.m.
Thursday:8:30 a.m. to 5:30 p.m.
Friday:8:30 a.m. to 2:30 p.m.
Saturday:Closed
Sunday:Closed

Please do not use this form to cancel or change an existing appointment.
*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.