Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment with Dr. David Bennett in our Geneva, Illinois dental office. Please contact our office by phone @ (630) 232-9410 or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Office Hours


Please do not use this form to cancel or change an existing appointment.


Items in bold are required.
Name:
Address:
City:
State/Province:
Zip/Postal:
Phone:
Email:
Are you a current patient?
Best time(s) to call?
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.