NE Family Dentistry
Creating Beautiful Smiles

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.

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

Office Hours:  

Monday: 8:00 AM - 5:00 PM
Tues: 8:00 AM - 5:00 PM
Wednesday  8:00 AM - 5:00 PM
Thursday 8:00 AM - 4:00 PM
Friday - By Appointment (First two Fridays of the month 8:00 AM - 12:00 PM)
Saturday/ Sunday - Closed
*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.):

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

Testimonials

I had my first appointment here today, as a person with dental anxiety it is SO hard to find somewhere you feel comfortable and not judged. This IS the place you can feel comfortable, I’ve never actually looked forward to going back to the dentist until now! The staff is amazing and kind.

Kaity

Best dentist and staff in Cedar Rapids area! Professional, personable, quality dental care. Dentist and staff genuinely care about their patients.

Karen

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