Request Appointment in Statesville
Have any questions, or are you ready to make Happy Teeth your child’s new happy place? Our team is excited to welcome you! Simply fill out the form below, and a member of our team will be in touch shortly.
Child's Name
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Child's First Name
Child's Last Name
Guardian's Full Name
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Guardians First Name
Guardians Last Name
Contact Number
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Please enter a valid phone number.
Email Address
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example@example.com
How Did You Hear About Us?
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Google
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Doctor's Referral
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Community Referral
Drove by Office
Appointment Date and Time Preference:
Please note this is not an actual appointment, a team member will reach out and confirm the appointment with you.
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