Request an Appointment


Elkhart Dental Center
125 S. Nappanee St.
Elkhart, IN 46514
(574) 522-0156
(800) 828-8361
(574) 294-1407 fax

To request appointment availability, please fill out the form below. Our scheduling coordinator will contact you to confirm your appointment.

Is there a specific date that you would prefer?
,

What day of the week would you like to come in?


What time do you prefer?


Full Name


Email Address


Phone Number
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Please describe the nature of your appointment :