Call: (847) 362-6660

Appointment Request - OLD

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our Libertyville dental office by phone @ 847-362-6660. 

Office Hours

Monday: 9:00 - 6:00

Tuesday: Open Every Other

Wednesday: 9:00 - 3:00

Thursday: 9:00 - 6:00

Friday: closed
Saturday: closed

Please do not use this form to cancel or change an existing appointment.

*Items in bold are required.
Are you a current patient?

Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.


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