We are accepting new patients at this time!

If you would like to become a patient at our office, please call us or fill out the appointment request form below and we will get back to you in a timely manner.

315-637-4616

Request an appointment with our team

Name

First Name

Last Name

Phone

(###)

###

####

Do you have Dental Insurance? If so, specify insurance company.

IMPORTANT: If you have Fidelis, Dentaquest or Medicaid we are a non-participating provider and your insurance company requires that you see a participating provider for any reimbursement. If you choose to see us for care, you will be responsible for payment in full.

New or Existing Patient?

Type of Appointment you are looking for?

If you are planning to become a new patient at our office, we ask that you fill out and send our records request form below to your previous provider.

RECORDS REQUEST FORM