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Make An Appointment

telephoneTo make an appointment, simply call us at

(970) 407-1001 during business hours:

Monday 8:00 a.m.
-
 5:00 p.m.
Tuesday 8:00 a.m.
-
 5:00 p.m.
Wednesday 8:00 a.m.
-
 5:00 p.m.
Thursday 8:00 a.m.
-
 5:00 p.m.
Friday 8:00 a.m.
-
 12:00 p.m.

or fill out the information below and we will contact you shortly to set up a time that's convenient for you!

NOTICE: The following form is not secured by encryption. If you are concerned about sending information through an unsecure channel, please call our office.

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  Name: *
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  Nature of the appointment:
 

New Patient Exam
Cleaning
Relaxation Dentistry Consult
Cosmetic Dentistry Consult
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Other - Explain:

  Check if you require pre-medication
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© Copyright 2003-2006 Dental WebSmith, Inc. and Roger L. Northen, Jr., D.D.S., P.C. All rights reserved. Disclaimer: The information provided within is intended to help you better understand dental conditions and procedures. It is not meant to serve as delivery of medical or dental care. If you have specific questions or concerns, contact your health care provider.

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