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Appointment Request

Schedule Your Dentist Appointment Online - Ireland Park 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.

Office Hours:

Monday - Thursday    8am - 5pm

Friday                           8am- 2pm

Saturday- Sunday      Closed



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

*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.

Office Location

  • South Bend
  • 1902 East Ireland Road
  • South Bend, Indiana
  • 46614
  • Map & Directions
  • Call: (574) 291-8022