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.

Scott Levine, D.D.S Office Hours

Monday 8am - 12pm - 1pm - 5pm
Tuesday 8am - 12pm - 1pm - 5pm
Wednesday 8am - 12pm - 1pm - 5pm
Thursday 8am - 12pm - 1pm - 5pm
Friday Closed 
Saturday Closed 
Sunday Closed 

This office is closed on the following holidays: New Year's Day, President's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Christmas Day.

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.


View More