Capitol City Dental - Appointment Request

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Capitol City Dental

Creating Beautiful Smiles

Appointment Request

916-443-6692

916-443-6692

The first step towards a beautiful, healthy smile is to schedule an appointment. Coordinating a dental appointment can be a pain. We understand that. Here are few ways we are trying to make it easier for you.

Self Schedule your appointment, anytime!

You can now schedule you dental appointment online.

Click here to schedule an appointment.

Call or Text

You can also text our office phone number at (916) 443-3572

Submit a contact form

Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.

*Items in bold are required.

Name: Please enter your name Email: Invalid Email address Phone: Please fill in phone or email address!

Are you a current patient?

Yes

How did you hear about us?

Which office location(s) would you prefer for your appointment?

Sacramento 1115 12th Street, Suite 2A

Preferred day(s) of the week for an appointment?

Any DayMondayTuesdayWednesdayThursdayFriday

Preferred time(s) for an appointment?

Any TimeMorningNoonAfternoonEvening

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.

Healthy Smiles

What does your smile say about you? Let us help you radiate confidence with a healthy smile.

Testimonials

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