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Request an
Appointment

American
Dental
Association

We will respond to this request for an appointment as soon 
as possible. If you need to talk with us, please call: 301-871-6660.

Please indicate what this appointment will be for.

New Patient Examination
Normal 6 month exam and cleaning
Consultation or second opinion
To continue treatment already started
To repair a broken filling or tooth
Toothache from eating/chewing or hot/cold
Other (provide a short description below)

Please provide any additional information:


Please fill in your name.

Please provide your e-mail address.

Please provide a daytime phone number if you wish 
us to call you.

Appointment preferences:

Date or Day of week:

Time:
 
We will try to find an appointment to honor your request and contact you as soon as possible with the exact time and date.


 

Leon R. Discavage, D.D.S.
General Dentistry / Implants
13975 Connecticut Avenue Suite 302

Aspen Hill SunTrust Bank Building
Silver Spring, Maryland 20906
Phone: 301-871-6660       E-mail: DrD@drdiscavage.com