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The holidays get so busy and before we know it, a new year has started. Don't let those benefits go to waste! Make sure you get your second cleaning in before the end of the year! Call to schedule your appointment 815-765-9900

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.

Hours of Operation:
Monday - 8:00 AM - 2:00 PM
Tuesday - 8:00 AM - 5:00 PM
Wednesday - 8:00 AM - 5:00 PM
Thursday - 8:00 AM - 8:00 PM
Friday - 9:00 AM - 3:00 PM

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.

Office Location

  • Poplar Grove
  • 13510 Julie Drive
  • Poplar Grove, Illinois
  • 61065
  • Map & Directions
  • Call: (815) 765-9900