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   Hours & Request an Appointment

 

Hours of Operation & Request an Appointment Form

With our convenient hours, we make it easy for you to fit appointments into your busy schedule. Complete the form below to request an appointment.
                      
 
 

Monday

8:00am - 3:00pm

Tuesday

9:00am - 5:00pm

Wednesday

8:00am - 3:00pm

Thursday

9:00am - 5:00pm

Friday

CLOSED (emergencies only)

Saturday

CLOSED (emergencies only)

Sunday

CLOSED (emergencies only)

 


APPOINTMENT REQUEST FORM

* (Required) Email Address:
* (Required) Confirm Email Address:
* (Required) Patients first name:
* (Required) Patients last name:
* (Required) Are you currently a patient with us?:
* (Required) How do you prefer to be contacted?:
What is your phone number? (w/area code):
Who is your current insurance provider?:
Preferred date:
Preferred time:
* (Required) Describe your dental concern:
Who were you referred by?:


 
Applegate Dental, PLLC
2177 Union Rd.
West Seneca, NY 14224
Office: (716) 668-4646 Fax: (716) 656-7935
applegatedental@gmail.com