N63 W23401 Main Street, Sussex, WI 53089 button for Pin2 Sussex 053118
(262) 246-6806 button for Call2 Sussex 053118
Request Appointment

Sussex, WI Dental Office

Request an Appointment

Please fill out the form below and we will contact you with an appointment time. Required fields are marked with asterisks (*).

Patient Information

Name: *

Phone: *

Email address: *

Have you visited our office before? *

Yes No  

What is the reason for the appointment? *

  Regular Exam / Cleaning
  Specific Concern / Procedure

What concerns, if any, would you like to speak to the doctor about:

Confirmation

How do you prefer to be contacted? *

  Email   Phone  

 
 

It may take a moment to submit your information. Please wait for a confirmation message.

 
American Dental Association Logo
WDA Logo

(262) 246-6806

N63 W23401 Main Street, Sussex, WI 53089
Copyright © 2018-2023 Sussex Dental and WEO Media (Touchpoint Communications LLC). All rights reserved.  Sitemap
About Our Sussex Family Dentistry | Serving The Sussex Area Since 1970
262-246-2232 - Serving since 1970, Sussex Dental is the premier family dentistry located in the heart of Sussex Wisconsin. Please call 262-246-2232 to schedule with us.
Sussex Dental, N63 W23401 Main Street, Sussex WI 53089 • (262) 246-6806 • sussexdentalwi.com • 5/31/2023 • Related Terms: dentist Sussex WI •