Piedmont Dental appointment request form
Please note, the fields labeled in bold are required in order to send your appointment request successfully.
If you feel uncomfortable providing any of this information over the internet you can always give us a call at (704) 225-8555 during the hours listed below.
Monday – Thursday from 8 a.m. – 5 p.m
Friday from 8:30 a.m. – 1 p.m
Saturday Restricted to established patients, and limited to hygiene (cleaning) visits. Please call the office during normal business hours to schedule.
To ensure that any emails that you receive from Piedmont Family Dentistry arrive in your inbox, please add email@example.com to your address book or trusted sender list if possible.
Please fill out the form below. Fields in bold are required.
News & Announcements
It’s that time of year again- Maximize your dental insurance!
Posted on: October 2nd, 2014
Your dental insurance premium is pulled out of every hard-earned paycheck. But come the New Year, any unused benefits are gone-- and on top of that, there's that new deduc...
No Insurance? No Problem? Introducing Piedmont Family Dentistry’s Dental Discount Plan!
Posted on: January 6th, 2014
We're excited to announce a new program for patients who do not have dental insurance: Piedmont Family Dentistry's Dental Discount Program!...
Its That Time Of Year Again: Maximize Your Dental Insurance!
Posted on: October 29th, 2013
Your dental insurance premium is pulled out of every hard-earned paycheck. But come the New Year, any unused benefits are gone-- and on top of that, there's that new deductible that has to be met. ...