Careers
View All Locations
Request an Appointment
Menu
Services
Preventive
Restorative
Children's/Pediatric
Invisalign Braces
Cosmetic
Oral Surgery
Seniors
Periodontal/Gum Disease
Endodontic/Root Canals
TMJ Disorders
Emergency Care
Insurance & Payment
Participating Insurance Providers
No Dental Insurance?
Payment Options & Financing
Understanding Your Insurance and Your Bill Statement
Promos/Special Offers
Testimonials
About Us
Why Oklahoma Dental?
Our Dentists
Community Involvement
Careers
Sell Your Practice
Patient Resources
Your first visit at Oklahoma Dental
Patient Forms
Post Treatment Care
FAQ
Dental Hygiene Tips
Mouth & Body Connection
Glossary
Patient Rights Policy
Notice of Nondiscrimination
Bill Statement
Blog
Contact Us
All Locations
Careers
Find Office
Request Appointment
Our Dentists
Mesikep, Mark A., DDS
Nguyen, Bao-Loan, DDS
Scott, Charles T., DDS
×
Request
an Appointment
I Would Like To
I would like to
Schedule a Cleaning
Schedule Dental Work
Other
Location
*
Select Location
Oklahoma Dental Del City
Oklahoma Dental South Oklahoma City
Oklahoma Dental Yukon
First Name
*
Last Name
*
Phone Number
*
Email Address
*
Requested Day
Requested Day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday (if available)
Requested Time
Requested Time
Morning
Late Morning
Early Afternoon
Late Afternoon
Evening (if available)
I am
I am
New Patient
Existing Patient
This iframe contains the logic required to handle AJAX powered Gravity Forms.
This form should not be used for dental emergencies, canceling appointments, billing questions or treatment questions.
