Request Dental Appointment | Schedule Dental Appointment in Rogers Arkansas | Northwest Arkansas

Request Dental Appointment

5508 Pinnacle Point Dr.
Ste.A
Rogers, AR 72758
Phone: 479.845.1225
Fax: 479.845.1227
Patients come first at the office of Dr. Lais. We’re honest, sincere and committed to offering each patient personal, individualized dental care.

Complete the form below to request an appointment.
Please tell us how to get in touch with you:
Name
Address me as:
E-mail
Phone
Are you a new patient? Yes No
Preferred Day of the Week?

Monday Tuesday Wednesday Thursday

What time of the day is best for you?  ( Lunch is at 1:00 )
Is there a specific date(s) and time that works best for you? (ie., Jan. 13 at 9am)
Please note any additional information below: