Request An Appointment
The first step towards a great night's sleep is to schedule a FREE no-obligation consultation. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment. You may also download our new patient forms to complete at your leisure before your first appointment.

Please do not use this form to cancel or change an existing appointment.

 

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:  (5 digits)
State
Daytime Phone:
Evening Phone:
Email:

Select preferred days of week for appointment:
(multiple selections allowed)
 
Monday
Tuesday
Wednesday
Thursday
Preferred Time of Day
(optional)
 
AM
PM

Do you have a specific date in mind?
(optional)


    dd/mm/yyyy:

What kind of appointment do you need?
(you can select more than one)
 
New Patient Consultation
Comprehensive Evaluation for Oral Appliance Therapy
Problem with Existing Appliance
Routine Followup
Other   

Please let us know anything else you feel is important for your visit:

How did you find this website?
 
Web Search Engine (Google, Yahoo, MSN, etc.)
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A friend or relative told me.
I am an existing patient.
Other:
Security Code: *  
                                  



Open Mon-Thurs from 8:00-5:00

Call today for an appointment
 
Carolina Dental Sleep Center
120 W Vermont Ave
Southern Pines, NC 28387
Tel: 910-695-4281
Fax: 910-695-4284

CarolinaDentalSleep@yahoo.com


Your Snoring, Sleep Apnea, and TMJ Dental Treatment Center in Southern Pines, North Carolina (NC) - serving Moore County in Southern Pines, Pinehurst, Aberdeen, and surrounding NC areas including Raleigh, Fayetteville, Raeford, and Sanford.

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