Online 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.

*Items in bold are required.

New Patient Form

New Patient Form

By providing a mobile number, I agree that Newport Beach Dental Center may send me automated appointment and dental marketing messages at the number I provided above. I understand my consent is not required for purchase.
Are You A Current Patient
Preferred day(s) of the week for an appointment?
Preferred time(s) for an appointment?

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.

Office Hours:
Monday to Thursday 7:30am – 5:30pm

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

*Items in bold are required.

Get in Touch

Name(Required)
By providing a mobile number, I agree that Newport Beach Dental Center may send me automated appointment and dental marketing messages at the number I provided above. I understand my consent is not required for purchase.
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1441 Avocado Ave, Ste 606 Newport Beach, CA 92660

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(949) 760-9212
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1441 Avocado Ave, Ste 606 Newport Beach, CA 92660

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(949) 760-9212

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