Make An Appointment

Make an Appointment

telephone To make an appointment, simply call us during business hours or submit the form below:

Phone (Alexandria): (703) 894-4867

Phone (Waldorf): (301) 638-4867

Hours:

Monday:
8:30 am

-
4:30 pm

Tuesday:
8:30 am

-
4:30 pm

Wednesday:
8:30 am

-
1:00 pm

Thursday:
9:00 am

-
4:30 pm

Friday:
8:30 am

-
4:30 pm

Fill out the information below, then click on "Submit", 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:
	Periodontal Services Consult Implant Consult Cosmetic Procedures Consult Other - Explain:
	I am interested in learning more Sedation Dentistry
	Who can we thank for referring you to us?
	Any other comments or concerns:

©Copyright 2004-2006 Dental WebSmith, Inc. and Karl A. Smith, D.D.S. ,L.L.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, contact your health care provider.