Appointment Request

Book Your Appointment with Dr. Ali

Take the first step toward comfortable, anxiety-free dental care. Request a consultation and our team will reach out within one business day.

The Fastest Way to Get Started

Submit Your Request

Fill out the form with your contact information, the service you're interested in, and any relevant details about your situation.

We'll Reach Out

A member of our team will contact you within one business day to confirm your appointment or gather additional information.

Your Consultation

Meet with Dr. Ali for a comprehensive evaluation. He'll review your medical history, discuss your needs, and develop a personalized treatment plan.

Or call us directly to schedule immediately:

(703) 672-8111

Monday – Friday, 8:00 AM – 5:00 PM

Tell Us About Yourself

First Name *

Last Name *

Phone *

Email *

Preferred Contact Method

PhoneEmailText

Are you a new patient?

Yes, new patientExisting patient

Service of Interest *

Sedation Preference

Preferred Appointment Time

How Did You Hear About Us?

Additional Information

By submitting this form, I consent to be contacted by NOVA Dental Anesthesia regarding my appointment request. I understand that submitting this form does not guarantee an appointment and that a team member will follow up to confirm availability.

We typically respond within one business day. For urgent needs, please call (703) 672-8111

Contact Information

(703) 672-8111

9006 Crownwood CT Unit A

Burke, VA 22015

Monday – Friday: 8am – 5pm

Saturday – Sunday: Closed

What to Expect at Your Consultation

Comprehensive oral examination

Review of your medical history

Discussion of your anxiety level and concerns

Explanation of all sedation options

Customized treatment plan with transparent pricing

No pressure — just honest guidance

Serving Northern Virginia

Burke · Springfield · Fairfax · Alexandria · Falls Church · McLean · Manassas · Arlington