The Dental Depot Appointment Request The Dental Depot, 3362 Lennon Road, Flint, MI, 1-810-732-4740 Name * Required Patient’s first name Patient’s last name Responsible party name (if different) First Last Patient’s date of birth * Required MM DD YYYY Patient type * RequiredI'm a new patientI'm an established patientPreferred appointment time * RequiredFirst Available / AnytimeBetween 7:00 a.m. and 10:00 a.m.Between 10:00 a.m. and 1:00 p.m.Between 1:00 p.m. and 5:00 p.m.Between 4:00 p.m. and 6:00 p.m. (Tuesdays) Preferred appointment day * Required Monday Tuesday Wednesday Thursday Friday Phone * RequiredEmail * Required Contact me * RequiredBy phoneBy emailPayment method * RequiredCash / Credit CardPPO (Most Dental Insurance)Care CreditAdditional information, questions or comments
