Appointment Request

The first step toward achieving a beautiful, healthy smile is to schedule an appointment. To schedule an appointment, please complete and submit the request form below. Our office manager will contact you soon to confirm your appointment.

Please note this form is for requesting an appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly.

Contact Information:

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Who referred you?
How did you hear about us?

 
Appointment Preferences:

Which Day(s) of the Week Are You Available?

Which time(s) of the Day Are You Available?


 
  • “Dr. Bill is the best dentist ever! He is super nice and never makes my teeth hurt. He should really help all the kids when their teeth have booboos.”

    – Laci L. (5 years old)

  • “Dr. Whitley has always been honest, friendly and compassionate about what he does! He has on more than one occasion stayed after hours to help one of my family members out.”

    – Rick & Kelli L.

  • “Dr. Whitley and his staff quickly earned my trust. From the first moment I walked into their office, I was blessed with a sense of security and confidence that I would be well taken care of.”

    – Susan M.

  • “I just got my teeth cleaned by the most wonderful dentist ever! All the staff is super courteous and genuine.”

    – Luci L.

  • “We love the team at Whitley dental clinic! Dr. Whitley was my son Jake’s (6) first experience with a dentist, now he looks forward to going back each time.”

    – The Cullen Family