Request an Appointment

Please fill out the form below and we will contact you with an appointment time. Required fields are marked with asterisks (*).

Patient Information

Name: *

Phone: *

Email address: *

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What is the reason for the appointment? *

  Regular Exam / Cleaning
  Specific Concern / Procedure

What concerns, if any, would you like to speak to the doctor about:

How do you prefer to be contacted? *

  Email   Phone  

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Get in Touch



3511 W Fox Ridge Ln.
Muncie, IN 47304

Office Hours:


Mon: 8am - 5pm
Tue: 8am - 5pm
Wed: 8am - 5pm
Thu: 8am - 5pm
Fri: 7am - 2pm

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