Appointment Request

Welcome to Encore Dental! 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.

Only available for our existing patients, Encore Dental has monthly Saturday appointments available on a first-come, first-serve basis where dental appointments are paid in full with several restrictions (loss of Saturday privileges/loss of 50% of reservation fee/co-pay for late cancellations or no-show, etc) prior to reserving your chair. Please call our team at (707) 562-4090 for details.

As a courtesy to our dental team, please do not use this form to cancel or change an existing appointments.


Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Phone:
Email:
Are you a current patient?
Best time(s) to call?
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 at (707) 562-4090 if sending highly confidential or private information.
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