1011 Bel Air Lane NW, Rochester, Minnesota 55901Phone 507-288-1188

Request Appointment

Please fill out the form below to begin your new patient experience with our office. Click the "Send" button to send the request to one of our appointment coordinators. If you are having a dental emergency, please call us in lieu of using this form. Thank you!

*Name

*Phone Number

*E-Mail Address

Preferred days/times?
(blank if no preference)
Mon a.m.
Tue a.m.
Wed a.m.
Thu a.m.
Fri a.m. 		Mon p.m.
Tue p.m.
Wed p.m.
Thu p.m.
Fri p.m.

Office Hours

Monday–Thursday
7:00 a.m.–5:00 p.m.

Friday
7:30 a.m.–12:30 p.m.
Do you have a preferred dentist?
No Dr. Roger Bisbey Dr. Michael Lose Dr. Robert Stroope
How did you hear about us?
Internet Family / Friend Yellow Pages Drove by Other

Please use the area to the right to add any information pertinent to your new patient appointment request.

Please review the information you are about
to submit for accuracy. Thank you!