Make An Appointment

To make an appointment, simply call us at
(402) 462-6410
(800) 366-5942 during business hours:

Monday	8	a.m.	-	5	p.m.	(lunch 1 - 2)
Tuesday	8	a.m.	-	5	p.m.	(lunch 1 - 2)
Wednesday	8	a.m.	-	5	p.m.	(lunch 1 - 2)
Thursday	8	a.m.	-	5	p.m.	(lunch 12 - 1) (staff mtg 1 - 2)
Friday	8	a.m.	-	5	p.m.	(lunch 1 - 2)

or fill out the information below and we will contact you shortly to set up a time that's convenient for you!

NOTICE: The following form is not secured by encryption. If you are concerned about sending information through an unsecure channel, please call our office.

*Required fields
	Name: *
	Daytime Phone: *
	E-mail Address: *
	Will this be your first visit with us?
	Yes No
	Nature of the appointment:
	New Patient Exam Hygiene / Checkup Dental pain / discomfort Fractured tooth Consultation with doctor Sedation consultation Orthodontics / Braces Cavity Bleeding gums Bad breath / Halitosis Wisdom teeth Bleaching / Tooth whitening Other - Explain:
	Which Doctor would you like to see?
	Dr. Bauer Dr. Howard Dr. Schreiner No Preference
	Any other comments or concerns:

© Copyright 2002- Dental WebSmith, Inc., Charles D. Bauer, D.D.S., P.C., and Jeffrey A. Howard, D.D.S., P.C. All rights reserved. Disclaimer: The information provided within is intended to help you better understand dental conditions and procedures. It is not meant to serve as delivery of medical or dental care. If you have specific questions or concerns about your dental or medical care, please contact your dentist or health care provider.

Privacy Policy