Appointment Request

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.

Office Hours:

Monday  8:00am - 5:00pm
Tuesday 7:30am - 3:30pm
Wednesday  Closed
Thursday 8:00am - 5:00pm
Friday 7:30am - 3:30pm
Saturday  Closed
Sunday  Closed


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


Patient Information

Patient Availability

Reason For Visit

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

2024 Robert J. Kostial, DDS