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Call for an appointment: Green Bay, WI 920-437-7444
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.

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

*Items in bold are required.
Name:  
Address:
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Are you a current patient?
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Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Please Note:  We currently are NOT accepting any new patients who participate in any of the Badger Care programs, Medicaid or WI State Funded programs, no matter with which insurance company they may have affiliation.

Messages sent using this form are not considered private.

Please contact our office by telephone if sending highly confidential or private information.