For All Emergencies You Must Call 203-762-9480

Appointment Request

Request an appointment with MaxDental

Do Not Use for Emergencies or Cancellations

To request an appointment, please fill out the form below. Our scheduling coordinator will contact you. Please note all appointment request are subject to office hours and availability. We will do our best to accommodate your schedule. Thank you! (Please visit our office imformation page for our office hours)

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Please do not submit any Protected Health Information (PHI).