If you would like to request an appointment, please submit a request below, and we will be in touch.

You may also text or call our office at (414) 433-7592.

For online appointments only, book through TeleDentist

Request an Appointment

First Name *

Last Name

Phone *

Email *

What are you experiencing?

Seeking Diagnosis & Treatment for: *

TMJ Disorders

Orofacial Pain

Sleep Apnea

Burning Mouth Syndrome

Oral Lesions

Not Sure

Preferred Day & Time

Day/Month

Time

9 am
10 am
11 am
12 pm
1 pm
2 pm
3 pm
No elements found. Consider changing the search query.
List is empty.

Anything else we should know?

How can we better assist you?