Appointment Request

We want to thank you for entrusting us with your smile! We encourage you to come our office for a no-obligation visit to meet the Dentists and staff to help you make a decision on who will provide your dental care.  If you are ready to schedule an appointment towards a beautiful, healthy smile please contact our office @ 717-263-8288 or complete the appointment request form below. Our scheduling coordinator will contact you to confirm an appointment.

Office Hours

 Monday 8 am - 4 pm
 Tuesday 8 am - 5 pm
 Wednesday 8 am - 4 pm 
 Thursday 8 am - 5 pm 



This form cannot be used  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.

Contact Us. We encourage you to contact us with any questions or comments you may have.