Request an Appointment

Schedule an appointment with Stephen J. Spencer, DDS

To request appointment availability, please fill out the form below. Our scheduling coordinator will contact you to confirm your appointment.

First Name*
Last Name*
Phone*
Email Address*
Date of Birth
Month*
DOB Day*
Year*
Best Days and Times
Select up to 3 appointment dates in order of preference
Appointment Date 1*
MM slash DD slash YYYY
Appointment Date 1 Time*
Appointment Date 2
MM slash DD slash YYYY
Appointment Date 2 Time
Appointment Date 3
MM slash DD slash YYYY
Appointment Date 3 Time
Reason for your visit*
Notes for the doctor
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