Appointment Request

Columbia Gateway Dentistry Appointment - General & Emergency Dental Care

The first step towards a beautiful, healthy smile for you and your children is to schedule an appointment. Please contact us at our Columbia MD dental office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.


Office Hours:

Monday   8:00am - 5:00pm
Tuesday   8:00am - 5:00pm
Wednesday   Closed
Thursday   8:00am - 5:00pm
Friday   8:00am - 5:00pm


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.



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