Schedule an Appointment

New Patient Form

All new patients are required to fill out a “New Patient” form when visiting Premier Dentistry of Philadelphia. Feel free to print and fill out the “New Patient” form before your visit for quicker registration.

New Patient Form

If you are a new patient, click here to find out what to expect.

Hours of Operation

Monday 9:00AM – 5:00PM
Tuesday 9:00AM – 5:00PM
Wednesday 9:00AM – 5:00PM
Thursday 9:00AM – 5:00PM
Friday – by appointment
Saturday – by appointment

Complete the form below and then click on the “Submit Appointment Request” button.