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.

 
logo of logo
Request an Appointment Map/Directions Patient Forms

Office Hours:


Mon: 8am–5pm
Tue: 7am–4pm
Wed: 7am–4pm
Thu: 8am–5pm
Fri: Closed

Phone:


(541) 389-0261

Address:


124 NW Hawthorne Ave
Bend, OR 97701-2918
Copyright © 2018-2022 Aesthetic Dentistry of Bend, LLC - Thomas E. Wold DMD and WEO Media (Touchpoint Communications LLC). All rights reserved.  Sitemap | Links
Dentist Bend, OR • About Aesthetic Dentistry of Bend
We are eager to care for your dental needs, and work as a team to make your appointment with our dentist as quick and efficient as possible. Call Us (541) 389-0261
Aesthetic Dentistry of Bend, LLC - Thomas E. Wold DMD, 124 NW Hawthorne Ave. Bend, OR. 97703 ~ (541) 389-0261 ~ wolddmd.com ~ 5/17/2022 ~ Associated Words: dentist Bend OR ~ dentist Bend OR ~