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W. Michael Black, DDS
Creating Beautiful Smiles
(801) 225-2310

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.
*Items in bold are required.
Are you a current patient?


Which office location(s) would you prefer for your appointment?


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

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

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

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.

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