2615 South Miami Blvd
Durham, NC 27703
Tel: (919) 596-7447
Fax: (919) 596-0910

Open 6 days a week!

Monday:	7:30am - 6:00pm
Tuesday:	7:30am - 7:00pm
Wednesday:	7:30am - 7:00pm
Thursday:	7:30am - 6:00pm
Friday:	7:30am - 6:00pm
Saturday:	7:30am - 2:00pm

Request an Appointment

Please provide your first and last name for our records.

First Name
Last Name

Have you been treated by RT Dental before?

No, I am new patient.
Yes, I am already a patient.

Please provide your email address and/or phone number, so that we may confirm your appointment.

Email Address:
Phone Number:

How do you wish to be contacted in regards to your appointment?

Please contact me by email.
Please contact me by telephone.

Please specify your prefered appointment date & time, as well as an alternate date and time.

First Choice:	Time:
Second Choice:	Time:

ATTENTION NEW PATIENTS!

Please download and complete the following 4 forms. Please have these forms filled out in their entirety upon arrival for your appointment.

Personal Information

Consent Form
Medical History
Personal Information
Privacy Practices

If you have any questions about these forms, or if you have trouble downloading them, please contact RT Dental at 919-596-7447 or email us at patientcare@rtdental.com