Request for An Appointment at a Preferred Time

Colchester Dental Group Office Hours

Open six days and two evenings

Monday 8:00 am - 5:00 pm
Tuesday 8:00 am - 5:30 pm
Wednesday 9:00 am - 9:00 pm
Thursday 8:00 am - 9:00 pm
Friday 9:00 am - 5:00 pm
Saturday 8:00 am - 5:00 pm / 8:00 am - 1:00 pm (our Saturday office hours alternate)
Sunday Closed

To request an appointment, please fill out the form below.

Our scheduling coordinator will contact you to make your appointment.

** indicates a required field
Name:**
Email Address:**
Phone:**
Is there a specific date that you would prefer?**
Please describe the nature of your appointment:**
I understand that my request does not constitute a confirmed appointment with Colchester Dental Group and that someone from the office will be in touch with me soon.**	Yes No
Are you currently a patient of Colchester Dental Group?**	Yes No
If you answered "Yes" to the question above, who is your dentist?	Bernard G. Park DDS, FAGD Martin H. Zase DMD, MAGD Michael L. Babinski DMD, MAGD

Colchester Dental Group, LLC
79A Norwich Avenue
Colchester, CT 06415
(860) 537-2351
(860) 537-2354 fax

© 2010 Colchester Dental Group - All Rights Reserved.
Additional Content Cited From The AACD - American Academy of Cosmetic Dentistry

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