Request an Appointment

Please fill out the form below and we will contact you with an appointment time. Required fields are marked with asterisks (*).

Patient Information

Name: *

Phone: *

Email address: *

Have you visited our office before? *

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What is the reason for the appointment? *

  Regular Exam / Cleaning
  Specific Concern / Procedure

What concerns, if any, would you like to speak to the doctor about:

Confirmation

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Tulsa, OK

Request Appointment

Hours


Mon–Thur: 7:00am–3:00pm
*Closed Fridays

Claremore, OK

Request Appointment

Hours


Mon–Fri: 7:00am–3:00pm
Healthy Smiles Family Dentistry | www.thehealthysmiles.com | Tulsa: (539) 302-3266 Claremore: (918) 343-4300
Tulsa Location: 1326 E. 43rd Court, Suite 100 Tulsa, OK 74105 Claremore Location: 201 N. Lynn Riggs Claremore, OK 74017
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