Premier Dental Appointment Request
To request appointment availability, please fill out the form below. Our scheduling coordinator will contact you to confirm your appointment.
Please choose appointment date. We are open Monday thru Thursday.
Please choose appointment time. We are open on Mondays from 9 AM to 5 PM and Tuesdays and Wednesdays from 8 AM to 5 PM and on Thursdays from 8 AM to 2 PM.
Notes for the doctor. Please do not submit any Protected Health Information (PHI).
Do Not Fill This Out