Appointment Request Form

Thank you for considering UK Dentistry for your dental treatment. To request an appointment at a clinic located in Lexington, please complete the below form. After-hours dental emergencies for patients of record should be directed to 859-323-5321.

Our patients are provided treatment through three different types of clinical settings: (Select one of the following)


Has this patient been seen at UK Dentistry before?

Does this patient have insurance?

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