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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.

If you are experiencing a dental emergency outside of our business hours, please contact 480-420-9905.  We will try and get you into the office as soon as possible.


Please do not use this form to cancel or change an existing appointment.     
Items in bold are required.
Name:  
Address:
City:
State/Province:
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Phone:
Email:
Are you a current patient?
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Which office location(s) would you prefer for your appointment?
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Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Please contact our office by telephone if sending highly confidential or private information.  

 

 

 

 

Copper Canyon Dental is a local Arizona family and cosmetic dentistry practice serving the communities of Gilbert, Chandler, Mesa, and Queen Creek AZ. Our dentist and dental office assistants are friendly, knowledgeable, gentle and of course experienced. Dr. Mitchell Lepetich, DMD is a dentist you can trust with you and your family's dental needs. Dentist clinic services include checkups, cleanings, digital x-rays, Zoom teeth whitening, emergency dental treatment, root canals, crowns, bridges, dentures,implant supported dentures, white fillings, resin-based restorations, periodontal therapy, extractions and more. 

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