Request an Appointment Make Your Appointment Today! Your Name (required) Your Email (required) Your Phone Number (required) Subject Preferred Days Please SelectMondayTuesdayWednesdayThursdayFridaySaturday Preferred Time Please SelectAMPMAnytimeASAP How did you hear about us? Please Select1stDDS.comDoctor's Email NewsletterSmile Card ReferralYellow Page AdDirect MailFreind/Word of MouthFormer PatientInternet Search DirectoriesMagazine or NewspaperThe Zoom Room WebsiteThe Locktight Denture Website Referred by Your Message Please leave this field empty. {{#message}}{{{message}}}{{/message}}{{^message}}Your submission failed. The server responded with {{status_text}} (code {{status_code}}). Please contact the developer of this form processor to improve this message. Learn More{{/message}}{{#message}}{{{message}}}{{/message}}{{^message}}It appears your submission was successful. Even though the server responded OK, it is possible the submission was not processed. Please contact the developer of this form processor to improve this message. Learn More{{/message}}Submitting…See our Patient Referral Program! See your HIPPA rights.