Appointment Request

Schedule your Appointment Online

Family & General Dentistry In Miramar & Pembroke Pines

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.

 

            Two Locations to Serve Your Family Dental Needs 

   www.PremierDentalSmile.com

Miramar

7160 Pembroke Road
Miramar, FL 33023 
Phone: (954) 987-6977 
Fax: (954) 987-1638

           

Pembroke Pines

    2472 N. University Drive
  Pembroke Pines, FL 33024
Phone: (954) 544-5132
Fax: (954) 544-3569
            

 


Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Phone:
Email:
Are you a current patient?
Best time(s) to call?
Please describe the nature of your appointment (e.g., consultation, check-up, etc.):
 
 

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

Directions

Premier Dental Center

 7160 Pembroke Road
Miramar, FL 33023
Phone: (954) 987-6977
Fax: (954) 987-1638
info@premierdentalsmile.com  

 

Premier Dental Center II

2472 N. University Drive
Pembroke Pines, FL 33024
Phone: 9545445132
Fax: 9545443569
info@premierdentalsmile.com

 


ACCESSIBILITY