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Request An Appointment

Please use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment.

Please complete the following form to request an appointment. Please also note that availability will vary depending on your request. Your appointment will be confirmed by phone by a member of our staff. Thank you!
Name
Phone*
Email*
Preferred Date*
Date Format: MM slash DD slash YYYY
Preferred Time
Nature of Visit
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Phone
This field is for validation purposes and should be left unchanged.

The Dental ER

Phone: (309) 421-0490 Address: 1601 W. Jackson St., Suite 108
Macomb, IL 61455

Monday, 9:00 a.m. – 5:30 p.m.
Tuesday, 9:00 a.m. – 5:30 p.m.
Wednesday, 9:00 a.m. – 5:30 p.m.
Thursday, 9:00 a.m. – 5:00 p.m.
Friday: Closed
Saturday: Closed
Sunday: Closed

We will do our best to accommodate your busy schedule. Request an appointment today!

Request Appointment

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