book your appointment

If you don’t feel like picking up the phone, you now have the option to request an appointment by filling out the short form below. Thank you for choosing Tindal Prosthodontics, and please let us know if you have any questions.

Patient Information

First Name

Last Name

Birthday

Phone

Email

Select an Address

General Dental Office | If you are not under the care of a Genreal Dentist, please let us know.

Appointment Information

Reason for Appoitment - Please select all that apply.

New Patient Establishing Care

Specific Area of Concern - Limited Exam

Dental Cleaning

Consultation

Second Opinion

Dental Emergency

Best time of Day - Select all that apply.

Morning

Lunch

Afternoon

Soonest Available

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Thanks for submitting!

After you have submitted the form, a member of our team will contact you to confirm your request.

take the next step

We encourage all new patients to read our "what to expect at your first visit" in our Patient Resources. We also suggest you fill out these online forms before your appointment!

We look forward to meeting you!