252-523-6060
Menu
Map & Directions
Appointment Request
Make a Payment
Facebook
Home
Office Info
About the Doctors
Meet the Team
Office Policies
Financial
Map and Directions
Appointment Request
Patient
First Visit
FAQ
Patient Forms
Common Problems
Emergencies
Oral Hygiene
Foods to Avoid
Treatment
Before & After
Early Treatment
Adolescent Treatment
Adult Treatment
Types of Braces
Invisalign
Damon Braces
Retention
Misc.
Related Links
Glossary
Contact Us
Make a Payment
Home
Office Info
About the Doctors
Meet the Team
Office Policies
Financial
Map and Directions
Appointment Request
Patient
First Visit
FAQ
Patient Forms
Common Problems
Emergencies
Oral Hygiene
Foods to Avoid
Treatment
Before & After
Early Treatment
Adolescent Treatment
Adult Treatment
Types of Braces
Invisalign
Damon Braces
Retention
Misc.
Related Links
Glossary
Contact Us
Make a Payment
Map & Directions
Appointment Request
Appointment Request
Skip Sidebar Navigation
About the Doctors
Meet the Team
Office Policies
Financial
Map and Directions
Appointment Request
Appointment Request
*
Patient Name (Required)
New Patient?
Yes
No
*
E-mail (Required)
Address
Phone
Preferred Days
Convenient Times
How did you hear about our practice?
Select an Option
Advertisement
A Friend
Internet
Staff Member
Yellow Pages
Other
How did you find our website?
Select an Option
Advertisement
A Friend
Search Engine
Other
Comments