Request an Appointment

address

To request appointment availability, please fill out the online form below. Our scheduling coordinator will contact you to confirm you appointment. Feel free also to call us during normal business hours to set up an appointment at 330--682-0244.

Is there a specific date that you would prefer?

What day of the week would you like to come in?

What time do you prefer?

Full Name (First, Last)

Email Address:

Phone Number (xxx-xx-xxxx)

Please describe the nature of your appointment:

Thank you. This information will help us to accommodate a
schedule that fits your needs.

Jody, Receptionist, Lincoln Way Dental