Appointment Request

Mesa, AZ Dentist - Derrick Dickerson, DMD - Schedule an Appointment

The first step towards a beautiful, healthy smile is to schedule an appointment. Whether you have a tooth ache, need braces, or worry about gingivitis, Dr. Dickerson can help you figure out what treatment options are best for you. Our Mesa, AZ dentist provides a wide array of dental services to family and children including dental implants, sleep apnea treatment, and Invisalign. Please contact our office by phone or complete the appointment request form below to schedule a consultation. 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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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.