Grove Healt Dental - Book A Dental Appointment

Request an Appointment

Yay! So excited to see you!

*If this is a dental emergency and you are a patient of record, please CLICK HERE to fill out a teledentistry request instead.

Have you been in to see us before?

Returning Patient

New Patient

What is your primary reason for the visit?

Cleaning / Exam

Tooth Concern

If you have a dental concern, please give us a little more information. Which side of the mouth? Are you having pain or sensitivity? Anything specific trigger it? (Hot, Cold, Pressure, etc.)

First name

Last name

Birthday

Month

Day

Year

Phone Number: (Our preferred method of contact is via text - please indicate below if you'd prefer a phone call instead.)

Please call me instead

Insurance Card:

Please be aware we are only in-network with Delta Dental Premiere but submit to most insurance companies with the exception of United Health Care as an out of network provider. Please look into your out of network coverage with your plan for information.

Please use this space to let us know if you have a preference on day of the week or time frame for scheduling. Our cleanings tend to book out a bit with the exception of cancellations but we will do our best to accommodate.

Grove Health Dental

763-416-0011

We accept both calls and text messages to this phone number