ADA Accessibility Information
Accessibility
A
A

A
background image top

Request an Appointment

Please fill out the form below and we will contact you with an appointment time. Required fields are marked with asterisks (*).

Patient Information

Name: *

Phone: *

Email address: *

Have you visited our office before? *

Yes No  

What is the reason for the appointment? *

  Regular Exam / Cleaning
  Specific Concern / Procedure

What concerns, if any, would you like to speak to the doctor about:

 

Confirmation

How do you prefer to be contacted? *

  Email   Phone  

 
 

It may take a moment to submit your information. Please wait for a confirmation message.

 

Greashaber Dentistry in Ann Arbor, MI
Patient Forms

Office Hours:


Mon: 9am - 3pm
Tue: 8am - 5pm
Wed: 8am - 5pm
Thu: 10am - 7pm
Fri: Closed



Address:


1119 Packard Street
Ann Arbor, MI 48104-3811



Copyright © 2017-2025 Greashaber Dentistry and WEO Media (Touchpoint Communications LLC). All rights reserved.  Sitemap
Contact Us • Dentist Ann Arbor, MI • Greashaber Dentistry
We gladly welcome new patients! Feel free to give our office a call to ask about procedures, billing, or any other questions. Contact our office today!
Greashaber Dentistry, 1119 Packard Street, Ann Arbor, MI 48104-3811 / (734) 519-7978 / greashaberdentistry.com / 7/6/2025 / Related Terms: dentist Ann Arbor /