Main Street Children's Dentistry and Orthodontics of Plantation

Request an Appointment

When applicable, appointments are to be scheduled in advance. During our office hours every effort is made to stay on schedule, however emergencies occur and our dentists & hygienists can be delayed. Please be sure to provide an email and phone where you might be reached prior to your appointment and feel free to call us to confirm your appointment status.

New patients: please be sure to review our new patient information for pediatric dentistry and orthodontics before your first appointment.

Patient Name*:
Patient Date of Birth*:
Responsible Party Name:(if different)
Patient Type*:
Preferred Day*:
Preferred Time*:
Email*:
Phone*:
Contact Me*:


Payment Method*:
Questions / Comments:
 
 
What Our Patients Say About Us

“Very efficient. This was my first visit and before I was even finished filling out paper work, my child was called in for an x-Ray and consultation. While he was getting his impressions, I was able to make his next appointment and made a payment. As soon as he was done, I was off to work.”

– Joshua H.