Call for an appointment: E. Amherst, NY (716) 636-1399

Win Extreme Smile Makeover by requesting your appointment now online:

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. 


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

*Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Email:
Phone:  
Are you a current patient?
Best time(s) to call?

Preferred day(s) of the week for an appointment?
Preferred time(s) for an appointment?
Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information. *Free whitening is a professional take home whitening kit.  *Win an Extremely Smile Makeover is a contest.   Contest ends March 31, 2011.   Contact our office for more info.