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Request an Appointment

Same-day appointments may often be available so please call our office if you need an appointment today.

For dental emergencies please call our office at 732-671-1110

Please be aware that you are submitting a request only. A representative from our office will contact you within the next business day to confirm an available date and time.

Your Full Name (required):

Your Email (required):

Your Contact Phone Number:

Are You a Current Patient at Red Barn Dental: YesNo

Requested Appointment Date/Time (please enter three options or a date range):

Please enter the code in the box: captcha

Our office will contact you to confirm your appointment.

Please note this form is for requesting an appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly by telephone.