Dentist Bath Appointment Request

Visit Your Dentist in Bath Ohio Today!

Need an appointment with a dentist in Akron OH? Requesting an appointment at our Akron, OH family and cosmetic dental office is now easier than ever. Fill out the form below and we'll contact you to find a time that fits your schedule. Start your journey towards a beautiful smile with Dr. Michael Van Der Kuyp today!

Patient Information (* denotes fields that are required)
Patient Name*
Phone Number*
Email Address
Are you a current patient?
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Appointment Information
Preferred Appt Date
Preferred Appt Time
Message
Describe the nature of your appointment or any other comments