Request an Appointment

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New Patients!

2515 Maplecrest Rd.
Bettendorf, IA 52722

Phone (563) 332-1600
Fax (563) 332-2219

Office Hours:
Mon. 8 AM - 1 PM, 2 PM - 7 PM
Tue. 8 AM - 1 PM, 2 PM - 5 PM
Wed. 7 AM - 1 PM, 2 PM - 5 PM
Thur. 8 AM - 1 PM, 2 PM - 6 PM

Request an Appointment

Appointment Scheduling

Appointments may be scheduled with our appointment coordinator by either filling out the form below and submitting it, by calling (563) 332-1600 or by sending us an email to appointments@bettendorfdentalpc.com . If you cannot keep your appointment commitment, please contact us as a courtesy, at least TWO BUSINESS DAYS AHEAD.

When an appointment is broken with short notice, four different groups of people suffer:

First, YOU suffer, because you have not received your needed care
Second, the dental hygienist, assistants, and/or doctor who had expected to see you have no patient in their dental chair, since that time was reserved specifically for YOU.
Third, the dental practice suffers an economic loss, since our overhead (rent, utilities, salaries, etc.) continue whether you are here or not.
Fourth, our patients suffer, since there are patients on lists who would have enjoyed being offered that time, if only they could have been contacted in advance so that they could make arrangements to be here.

Request an Appointment

First Name*

Last Name*

Street
Address

Address (continued)

City*

State*

Zip Code

Work Phone

Home Phone

Cell Phone

Email

Are you already our patient?

Yes

Date Requested

YYYY

If date requested cannot be met, please type alternate day(s) of week that might work below:

Other days
of the week
that might
work for you:

Date

AM/PM

If time cannot be met, please let us know if mornings or afternoons work better for you.

Morning or Afternoon

Morning (AM)

Afternoon (PM)

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