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Make An Appointment

telephoneTo make an appointment, simply call us at
(231) 946-0207 during business hours:

Monday 8:00 a.m.
-
4:30 p.m.
Tuesday 8:00 a.m.
-
4:30 p.m.
Wednesday 8:00 a.m.
-
4:30 p.m.
Thursday 8:00 a.m.
-
4:30 p.m.
Friday 8:00 a.m.
-
4:30 p.m.

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

Patients are seen by appointment only, so please call in advance so we may reserve a time for you. We make every effort to be on time for our patients and ask that you extend the same courtesy to us by arriving a few minutes before your scheduled appointments. If you cannot keep an appointment, please notify us by calling our office. If possible, please give us at least 48 hours notice. This courtesy on your part makes it possible to give an appointment to another patient who desires to see the doctor or hygienist.

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

*Required fields  
  Name: *
  Daytime Phone: *
  E-mail Address: *
  Will this be your first visit with us?
 

No
Yes - Whom may we thank for telling you about us?

  Nature of the appointment:
 

New Patient Exam
Cleaning (Regular Checkup)
Implant Dentistry Consultation
Denture Consultation
Cosmetic Dentistry Consultation
Other - Explain:

 

Any other comments
or concerns:

   


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© Copyright 2002- Dental WebSmith, Inc. and Stephen E. Kozelko, 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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