Request an Appointment

The first step towards a beautiful, healthy smile is to schedule an appointment with Lakeside Oral Surgery & Dental Implants. Please contact our following offices by phone at:

Coeur D'Alene Office: 208-664-0844
Ponderay Office: 208-664-0844

or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment. If you are an existing patient, this contact form should not be utilized for communicating private health information.

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Your Name*
Your E-mail Address*
Your Phone Number
Referred By
I am interested in
- Scheduling an Appointment
- Teeth Removal
- Wisdom Teeth
- Dental Implants
- Bone Grafting
- Other
Best Time for Appointment
- Morning
- Afternoon
Preferred Day of Week
- M
- T
- W
- Th
- F
How did you hear about us?
Comments/Questions
Preference
This field is for validation purposes and should be left unchanged.

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