Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.

Patient Information

Patient Availability

Reason For Visit

Office Hours:

Monday           7:30am - 4:00pm

Tuesday          7:30am - 4:00pm

Wednesday     7:30am - 4:00pm

Thursday         7:30am - 4:00pm

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

Connect With Us

Ready to come in for an appointment?
Contact us today!

DENTAL ASSOCIATES of Houston
Jeremy Wade Chance, DDS

Dr. Jeremy Chance is dedicated to excellence in dentistry specializing in Periodontal and Cosmetic Dentistry. The office is located in Houston, Texas.


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