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Appointment Request

Advanced Gentle Dentistry of Park Slope - Request an Appointment

When you come into our practice, you will notice that we utilize the latest dental technology to ensure that you have a smile that will last a lifetime. We have sky lights and TV's in our office, which provides our patients with one of the most relaxing dental offices in Park Slope. The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.


*Items in bold are required.
Are you a current patient?


Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.