πŸ“ 79 Falling Springs Drive Suite 120, Chapel Hill, NC 27516
πŸ“ž (919) 391-3813⏰ Mon–Thu: 8am–5pm
New & Existing Patients

Request an
Appointment

Fill out the form below and we'll get back to you within one business day to confirm your appointment.

πŸ“… Appointment Request Form

Parent / Guardian Information
Parent / Guardian First Name
Parent / Guardian Last Name
Phone Number
Email Address
Child's Information
Child's First Name
Child's Last Name
Child's Date of Birth
Child's Age
Appointment Details
Reason for Visit β–Ύ
New or Existing Patient β–Ύ
Preferred Date
Preferred Time β–Ύ
Insurance Provider (if applicable)
Additional notes or questions (optional)
Submit Appointment Request β†’

πŸ“ž Prefer to Call?

(919) 391-3813

Our team is available Monday through Thursday, 8:00 AM – 5:00 PM to answer your call and schedule your appointment.

New Patient? Here's What to Bring

βœ“Insurance card (if applicable)
βœ“Photo ID for parent/guardian
βœ“Previous dental records (if available)
βœ“List of current medications
βœ“Any medical history forms we sent you

⏰ Office Hours

Mon – Thu8:00 AM – 5:00 PM
Fri – SunClosed
Insurance & Payment

We Work With Most Insurance Plans

We accept most major dental insurance plans and are happy to help you understand your benefits. We also offer flexible payment options for families without insurance.

Delta Dental
Blue Cross Blue Shield
Cigna
Aetna
MetLife
United Healthcare
Medicaid (NC)
Most Major Plans