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Appointment Request

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.
*Items in bold are required.
Are you a current patient?


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Preferred time(s) for an appointment?

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.

Testimonials

Excellent patient care here. Highly recommend them!

Tim W.

I have had a phobia of dentists my entire life and have always needed the nitrous oxide to calm my nerves. When I started seeing the team at NP Dental Center, they were amazing but then I moved to St. Paul. Even with this transition, I still make the trip to New Prague as they are TOP NOTCH. No more nitrous! Amy and Tina at the front desk are great to deal with, Dr. Derksen is knowledgeable with a great sense of humor and Tess is the absolute best dental assistant ever. For the first time in my life, I am able to go to the dentist without the extreme phobia. Thank you!

Tina E.

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