Schedule an Appointment

We know you have many choices when choosing a Dentist in Clermont, FL so we have made requesting an appointment a simple process via our website. If, for any reason you cannot keep a scheduled appointment, or will be delayed, please call us, at 352.989.5815, as soon as possible.

• *
  First Name Last Name
• Phone (Primary)*
• Phone (Secondary)
• Email*
• New/Existing Client*
  New/Existing ClientNew PatientExisting patient
• Do You Have Insurance?*
  Do You Have Insurance?YesNo

• Name of Insurance*
• Reason for Appointment