Request An Appointment
New Patient Forms

8320 Falls of Neuse Road • Suite 101 • Raleigh, NC 27615 • Phone: 919-518-0540 • Fax: 919-518-2448

Bonding Bridges Cleaning Crowns Dentures (Full & Partial) Fillings Implant Crown Implant Dentistry Root Canals Veneers Whitening

Office Location Request An Appointment New Patient Forms

Request An Appointment Online

Use the form below to request an appointment. Someone will call you shortly to confirm an appointment date and time.

Full Name

Age

Gender

Male

Female

Phone Number

Email Address

Patient Status

1. What time of day do you prefer your appointment?

2. When was your last dental visit?

	Within the past six months.
	Between six and twelve months ago.
	More than twelve months ago.

3. What is the nature of the visit you are requesting? (Please check all that apply)

Comments

Dr. Valerie M. Preston

"Let our family take care of your family." - Dr. Preston
Meet The Professional Staff

See the unique features that our office provides to ensure a quality patient experience.

Tour Our Office

Dr. Preston has always treated me like a part of her family, not just a patient off the street.

- Melody K