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Request an Appointment

If this is a dental emergency, please call our office 973-633-5440. During office hours, immediate attention will be given to your situation, and you will be seen as soon as possible. After office hours, please give the office a call and follow the instructions provided. Your call will be returned as soon as possible.

Fill out the form below to request an appointment.

Appointment Request
First Name
Last Name

Sending

Please note that e-mail is not a secure form of communication. Medical information placed here may not be confidential. Please use this form to send your contact information, and we will respond to your inquiry using a secure method. This form should not be used by children under the age of 18. If you prefer to speak to us directly you are also welcome to call us so that we may assist you.