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Peter A Payne DMD
Implant Dentistry and Periodontics
"Coordinating all your dental treatment"
Call: (401) 273-6161

Appointment Request

The first step towards a beautiful, healthy smile you can be proud of is to schedule an appointment with Peter A Payne DMD. 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.
*Items in bold are required.
Are you a current patient?


Which office location(s) would you prefer for your appointment?


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.