Appointment Request

Ark Valley Dental is SCHEDULING!

Please note if you received dental care by Dr. Davis at another location, you will need to be seen as a NEW PATIENT with Ark Valley Dental. 

Ark Valley Dental does not accept Medicaid or Medicare. 

The first step towards a beautiful, healthy smile is to schedule an appointment.

  • Schedule Online
  • After you schedule, please fill out our new patient paperwork
  • Complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.
    Please do not use this form to cancel or change an existing appointment. 
  • Call our office 719-966-5088

Patient Information

Patient Availability

Reason For Visit

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.