Appointment Request | Orem, UT | W. Michael Black, DDS

Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.

Patient Information

Name

Phone

Are you a current patient?YesNo

Patient Availability

Preferred day(s) of the week for an appointment? Any DayTuesdayWednesday

Preferred time(s) for an appointment? Any TimeMorningAfternoon

Reason For Visit

Please describe the nature of your appointment?

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

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Testimonials

"Dr. Black is the best and so gentle. My family has been visiting him for over 5 years. "

Mark D

"My wife and I have been patients of Dr. Black's for over three years and have been very satisfied with all our dental work. We highly recommend him and his staff to treat you and your family. We always leave laughing."

Lynn S.

"Great staff and good service. I loved the explanation of things before they happened. Very friendly environment. No shaming if you have had bad habits."

Natalie R.

"I had such a pleasant experience at Dr. Black's office. Very professional and kind staff & welcoming office. I feel lucky that I was able to find such a great dentist!"

Audrey B.