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To request an appointment please fill out the form below. We will take your submitted information and select an appointment time as close as possible. We will contact you within 24 hours to setup your appointment.

It is ideal to submit your appointment request in advance. We try to honor your appointment requests as close as possible and will contact you to definitively schedule your appointment.

Items in green are required

Phone Number
Email Address
Child / Adult
New Patient
We ask that you select a couple of appointment days and times so that we can better assist you.
Appointment Type
Appointment Date Pick a Date
Appointment Time
Appointment Date Pick a Date
Appointment Time
Brief Description of Dental Needs

New Patient Forms

New patients can now fill out their paperwork online. Click here to get started now!

Click Here To Access Forms

Clinic News

2010-06-21 - Some MetLife U.S. dental claims being reviewed in India
Read More

2007-07-31 - Bisphosphonate complications
Precaution of Dental Complications in Patients receiving Bisphosphonates
Read More

Click here for news archive

Call SouthPark Dentistry 704-364-9686
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