Book Free Consult

Please fill out this form, and our scheduling coordinator will get back to you shortly to confirm the appointment with you. If you need to reschedule or cancel an existing appointment, or if you’re having a dental emergency, please contact our practice directly.

  • Patient Information

    Required *
  • MM slash DD slash YYYY
  • Responsible Party Information

  • MM slash DD slash YYYY
  • Dental Insurance Information

  • MM slash DD slash YYYY
  • To schedule your free consult with us, please select the day and times you prefer so that we can check for availability.
  • Message to practice (optional)

  • This field is for validation purposes and should be left unchanged.

Find Us Here

  • 306 W Liberty St.Rome, New York 13440
  • Phone: (315) 336-6380
  • Fax: (315) 338-0861

Monday: 8:00 AM to 5:00 PM

Tuesday: 8:00 AM to 5:00 PM

Wednesday: 8:00 AM to 5:00 PM

Thursday: 8:00 AM to 5:00 PM

Friday: 8:00 AM to 5:00 PM

The owner of this website has made a commitment to accessibility and inclusion, please report any problems that you encounter using the contact form on this website. This site uses the WP ADA Compliance Check plugin to enhance accessibility.