615-523-2625

Make an Appointment

Schedule an Appointment Form

Please use the form below to schedule an appointment with Green Dental. If you are an existing patient and would like to schedule a re-care visit, please select that option from the appointment type field.

Our office is open Tuesday - Friday from 8:30AM thru 5:00PM & Saturday 8:30AM thru 12:00PM. We will contact you within a few minutes during business hours. After hours, your call will be returned the following business day.

Appointment Type:	-- Please Select -- Emergency New Patient Exam Cosmetic Consultation Re-Care (Existing Patients Only) Implant Consultation Wisdom Teeth (Extraction)
How did you hear about our dental office?	-- Please Select -- Friend or Family Internet Dental Insurance Company Driven by Our Location
Preferred Day:	-- Please Select -- Tuesday Wednesday Thursday Friday Saturday
Preferred Time:	AM PM
Full Name:
Contact Number:
Email Address:
Additional Information: