Contact Us

Thanks for showing interest in our practice. We are here to serve you in any way possible. If we can be of more assistance, please feel free to contact us by any of the following below:

Phone: 734-677-8700
Fax: 734-677-4606

2365 S. Huron Parkway
Ann Arbor, MI 48104

Name*
Email*
Phone
	My needs are (check all that apply): Cleaning/Checkup Cosmetic whitening Cosmetic makeover/Improving my smile Replacing missing teeth Replacing metal fillings
	Please select one: I will fill out the forms when I come for my initial appointment Please send me a new patient packet in the mail I will print the online form and bring it to my initial appointment
	Check all that apply: I DO have dental insurance I do NOT have dental insurance I am interested in interest free financing
	How did you find us? A friend/family member who is a patientInternet search (Google, Yahoo)Yellow pages1800-DentistMichigan Dental AssociationAmerican Dental AssociationMy insurance carrierAnother professional
	Other
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	Any information submitted will not be disclosed to third parties, unless it is necessary to complete your request.

If you are interested in setting up an appointment, would like to change your information at the practice, or have any other questions or concerns please fill out the form below and we will contact you as soon as possible with a response. If you are a new patient interested in coming to our practice, feel free to either request a new patient information packet or simply print the online new patient form fill it out and bring it to your initial appointment. Thanks again!