Make an Appointment

I want to schedule my appointment with LifeSmiles Dental Care and understand I will be contacted WITHIN 24 BUSINESS HOURS to select an available appointment time. For a Dental emergency, either call our office at 972-231-4390 to be seen immediately or go to your nearest hospital emergency room. Thanks!

*PATIENT NAME:


*PATIENT DOB:

*AGE:

*DESIRED DAY/DATE:

*DESIRED TIME:

*EMAIL:

*PHONE:

*What is the reason for your visit to our office?

*Have you visited LifeSmiles Dental Care before?

How did you hear about us?