Appointment Request Form

If this is an emergency, or if you are trying to cancel or change an existing appointment, please do not use this form. Contact us by phone at (513) 229-7711.

*First name:
*Last name:
Zip/Postal Code:
Preferred Dates:
Preferred Times:
Please describe your symptoms:

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We have received your request and will get back to you shortly.

Feel free to call or email our office with any questions or to make an appointment. To make an appointment, you can call or email us or use our appointment request form.

5382 Cox-Smith Road Mason, OH 45040
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Phone: (513) 229-7711

Email our office:

. If this is for an appointment, we will get right back to you to confirm your time.

If you are a current patient of our office and are experiencing an after-hours dental emergency, you may call our main number, (513) 229-7711


Office Hours »

Monday              8:00 AM— 4:00 PM
Tuesday             8:00 AM— 6:00 PM
Wednesday        8:30 AM— 3:00 PM
Thursday            8:00 AM— 6:00 PM
Friday                8:00 AM— 3:00 PM
Saturday          By Appointment Only

Sunday             Closed

Call us: (513) 229-7711

5382 Cox-Smith Road Mason, OH 45040