Appointment Request

The first step toward achieving a healthy smile is to schedule an appointment. Please complete and submit the request form below.  

PLEASE NOTE: this form is for requesting an appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly by calling 402-489-8848.

Once we receive your request, our Scheduling team will reach out to coordinate a time and date for you. Please know that we monitor these requests and respond during our normal operating hours. 

Contact Information:

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