Call: (973) 253-3500

Appointment Request | Clifton Family Dentistry 

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or 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.

Business Hours:

Mon:  9:00 AM - 5:00 PM 
Tue: 10:00 AM - 7:30 PM 
Wed:  9:00 AM - 5:00 PM 
Thu: 10:00 AM - 6:30 PM 
Fri:    Closed
Sat:   Every Other: By appointment only
Sun:  Closed

Please specify if you have any insurance coverage.*Please be advised we are
NOT in network with any NJFamily Care, Medicaid/Medicare, DMO or HMO plans. 

*Items in bold are required.
Are you a current patient?

Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

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