APPOINTMENT REQUEST

The first step toward achieving a pleasant and healthy smile is to schedule an appointment. Thank you for choosing GDA for your dental care. . To request an appointment, please complete and submit the request form below and our scheduling coordinator will get in touch with you as soon as possible at the phone number provided to schedule your appointment. We will make every attempt possible to accommodate your appointment request and look forward to seeing you soon.

Please note this form is specifically for requesting an appointment. Please do not use this form to cancel or reschedule existing appointments. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our office directly at 703-743-2324.

Walk-ins and same day emergency appointments are welcome.

Appointment Request

Are you New Patient?

Preferred Date:
Preferred Time:
Message:

A few simple steps to keep your smile healthy:

  • Brush with a soft-bristle tothbrush at least 2 times a day.
  • Floss daily-preferably after brushing.
  • Avoid sugary or starchy snacks-they turn the natural bacteria in your mouth into acids, which dissolve the enamel--that's how cavities and gum disease get started.
  • Get regular check-ups and cleanings.