Appointment Request

The first step towards a healthy smile for your child is to schedule an appointment. Please call our office at (330) 562-2700 or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Office Hours
Monday: 9am to 5pm
Tuesday:8am to 5pm
Wednesday: 9am to 5pm
Thursday: 8am to 5pm
Friday: By Appointment Only

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

Patient Information

Patient Availability

Reason For Visit

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

Ready for your first appointment?