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.


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