Boise Office
13059 West Persimmon Lane
Boise, ID
(208) 658-9470

Mountain Home Office
925 1/2 W. Airbase Road
Mountain Home, ID
(208) 587-4422

Premier provider
since 2009

Request an Appointment

The first step toward achieving a beautiful, healthy smile is to schedule an appointment. To schedule an appointment, please complete and submit the request form below. Our scheduling coordinator will contact you soon to confirm your appointment.

Please note this form is for requesting an appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly.

Please use this form to request an appointment. A member of our Team will contact you shortly.

Your Information:

Name:

First

Last
Address:

Street

City

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Phone Numbers:

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Email Address:

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Appointment Details:

What Would You Like to Do?

Reason for Appointment
Choose Preferred Dates for Appointment:

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2nd Date Choice

3rd Date Choice
Choose Preferred Time of Day:

Morning Afternoon
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Additional Information:

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Request an Appointment

Name:

Address:

Phone Numbers:

Email Address:

What Would You Like to Do?

Choose Preferred Dates for Appointment:

Choose Preferred Time of Day:

Are You Currently a Patient With Us?

Additional Information:

For Security Purposes, Please Enter the Code Below: