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Contact Us

For all general enquiries or to discuss our treatment options please call (0118) 9411628. If you are interested in private treatment or want to book a smile assessment online you can also fill out the form below.

Current patients (including those recently referred by their dentist but yet to hear about an appointment) who wish to enquire about or alter appointments, or who have a query about their treatment, can fill out the form in the existing patients section of the site.

Children interested in NHS treatment can only be referred by their dentist and cannot refer themselves.

Title: *

Please Select Mr Mrs Miss Ms Other

Full Name: *

Address (including Postcode): *

Tel (day): *

Tel (evening): *

Mobile: *

Email: *

Interested in treatment for:  

Please Select Yourself Son/Daughter Other Family Member Partner Other

Date of Birth: *

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Preferred Appointment Day:  

Please Select Monday Tuesday Wednesday Thursday Friday Saturday

Preferred Appointment Time:  

Please Select Morning Afternoon

How did you find us? *

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* = Required Field.