Lansford Dental Group
Cosmetic and Restorative 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.
*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.

Testimonials

They are fantastic! The Lansford’s are genuinely good people who really care about your oral health.

Marci Saporita

I am exceedingly grateful that my friend recommended Dr Lansford to me! It’s a blessing to have him as my dentist. He is caring, professional and extremely knowledgeable. I am very impressed by his attention to detail and his passion for his work. The staff are very helpful and friendly.

Zelle Olson

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