Dentist Birmingham Appointment Request

Make an Appointment With Birmingham Dentist, Dr. Wilson Wright, Jr.

Need a dental appointment in Birmingham? Requesting an appointment at Birmingham Eastern Family Dental Care is now easier than ever. Fill out the form below and someone from our team will contact you to find a time that fits your schedule. Start your journey towards a beautiful smile at Birmingham Eastern Family Dental Care today! 

Patient Information (* denotes fields that are required)
Patient Name*
Phone Number*
Email Address
Are you a current patient?
No Yes
Best time(s) to call?
Morning Noon Afternoon Evening
Appointment Information
Preferred Appt Date
Preferred Appt Time
Describe the nature of your appointment or any other comments