Request Appointment

No dental insurance? No problem. Get the care you need with our in-house Smile Care Dental Plan.

“As Attentive To YOU, As We Are To Your SMILE”

Cosmetic & Comprehensive Family Dentistry Practice

Over 20 Years Experience

(336) 525-9581

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Request Appointment

Patient Name:

Date of Birth:

Guardian Name (If patient is under 18):

Date of Birth:

Phone Number:

Email:

Are You...

Please Select Your Dental Insurance:

If Other:

Appointment Type:

Preferred Day of the Week

Monday

Tuesday

Wednesday

Thursday

Preferred Time of Day

Morning

Afternoon

How Did You Hear About Us?

If Other:

Additional Comments/Primary Dental Concerns:

J. SELIG COOPER, DDS, PA

1515 Yanceyville Street

Greensboro, NC 27405

p. 336-525-9581

f. 336-510-5812

HOURS OF OPERATION

Monday: 8:00am to 5:00pm

Tuesday: 8:00am to 5:00pm

Wednesday: 8:00am to 5:00pm

Thursday: 8:00am to 5:00pm

Friday, Saturday & Sunday: Closed

*Mon-Thurs: Closed for lunch 1:00-2:00pm