Skip to content

Monday - Friday 08:00-19:00

Saturday and Sunday - CLOSED

aftwhdmd@comcast.net

729 Franklinville Rd.
Mullica Hill, NJ 08062

Home
About Us
Services
Our Team
Contact

Home
About Us
Services
Our Team
Contact

Facebook-f Twitter Pinterest-p Google-plus-g

Contact Step 2

CONTACT US OR SCHEDULE AN APPOINTMENT

"*" indicates required fields

1Patient Information

2Additional Patient Information

3Appointment Review

Email

This field is for validation purposes and should be left unchanged.

This field is hidden when viewing the form

What's the reason for your visit?*

Image for choice number 1

Emergency

Image for choice number 2

Broken Tooth/Tooth Pain

Image for choice number 3

Dental Implants

Image for choice number 4

Dentures

Image for choice number 5

Clear Aligners

Image for choice number 6

Other/Check Up

Patient Information

First Name*

Last Name*

Date of Birth*

MM slash DD slash YYYY

Let us get to know you

Provide more information on your current dental health to help us schedule your appointment.

What is your current dental condition? Please select all that apply.*

Missing teeth

Cracked, loose, or failing teeth

Bleeding/swollen gums

Can't eat what I want

Tooth pain

None of the above

How many missing teeth do you have?*

Single tooth

2+ teeth

How many cracked, loose, or failing?*

Single tooth

2+ teeth

How often do you experience bleeding/swollen gums?*

Some of the time when I brush/floss

Most of the time when I brush/floss

What types of food are you having difficulty eating? Please select all that apply.*

Hot or cold food or drinks

Crunchy or chewy foods such as meats, vegetables, or granola

Other food/drinks

How many teeth are you experiencing pain in?*

Single tooth

2+ teeth

What would you like to improve about your smile? Please select all that apply.*

Repair damaged teeth

Replace missing teeth

Gum health

Bite position

Color of teeth

Shape of teeth

Position of teeth (Crooked teeth/Crowding or spacing of teeth)

Other

I am happy with my smile

Need further assistance? Call (856) 478-0200

Additional Patient Information

Email address*

Phone Number*

Do you have dental insurance?*

Yes

No

Your Current Insurance Provider*

Need further assistance? Call (856) 478-0200

Appointment Review

Click 'Confirm My Appointment' to complete your scheduling.

WORKING HOURS

Mon & Wed

8:00 AM – 6:00 PM

Tue & Thu

9:00 AM - 5:00PM

Fri (Every Other)

9:00AM - 1:00 PM

Sat – Sun

Closed

CONTACT DETAILS

729 Franklinville Rd. Mullica Hill, NJ 08062
aftwhdmd@comcast.net
(856) 478-0200

H & O Dentistry

Offering preventative and restorative care, cosmetic procedures, flexible payment options, a state-of-the-art facility, personalized service, and emergency dentistry.

APPOINTMENTS

(856) 478-0200

Links

Home
About Us
Services
Our Team
Contact

Home
About Us
Services
Our Team
Contact

Member Orgnizations

© 2025 H & O Dentistry. All rights reserved. | Sitemap

Secure hosting & Webmaster by R40 Collective

Facebook-f Twitter Pinterest-p Google-plus-g

Home
About Us
Services
Our Team
Contact

Home
About Us
Services
Our Team
Contact