Call: 585. 334. 5544

Appointment Request

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.
Are you a current patient?


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.

Testimonials

Dr. Phillips always take the time to explain treatment options and makes me feel comfortable with his professional, caring attitude.

~ Jack G., Retired

I love getting my teeth cleaned at Dr. Dan's office! The berry vanilla flavor is my favorite!

Jill B., Student

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