Vormohr Family Dentistry
Creating Beautiful Smiles

Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. 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.
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.

Testimonials

I used to not want to come to the dentist. It was a scary place. With my family history I had it in my mind that I would end up with dentures.
After my last few cleanings I realized the dentist is a safe place and it is good for my health. I felt like I was being pampered! Thank you Jesus for my change of heart and for all the help from the hygienist who was so sweet.
Dana D. 11/6/2023

I have had a lot of dental work done over many years. The appointment with Dr. Banta for a filling was the most pleasant dental experience I have ever had--NO PAIN!
1/15/2016

Jennifer R

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