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.

Patient Information

Patient Availability

Reason For Visit

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

Connect With Us

Ready to come in for an appointment?
Contact us today!

Team of Dental Professionals
Great smiles created in the comfort of your home

This TEAM of Dentists, Dr. Timothy Verceles, and hygienist from Your Great Smiles Inc., Diversify Smiles inc., and Nani Dental Hygiene Services are proud to provide portable dental services to patients in their homes, care nursing facilities, hospice care, behavioral health facilities, and assisted living.


Site Developed by ProSites.com