Request An Appointment At Bridgeford Dental

We are looking forward to meeting you! Please fill out the form below to request an appointment. We will get back with you as soon as possible.

If you need to reschedule an existing appointment, or if you have a dental emergency, please call us at 701-746-0485.

Your Name (required)

Your Email (required)

Your Phone (required)

Select preferred days of week for appointment:
(multiple selections allowed)
MondayTuesdayWednesdayThursdayFriday

Preferred time of day:
(optional)
AMPM

Do you have a specific date in mind?
(optional)
-- mm/dd/yy

What kind of appointment do you need?
(you can select more than one)
New Patient Comprehensive ExamCleaningUrgent Problem (broken tooth, toothache, other)Cosmetic ConsultationSix Month Braces Consultation2nd Opinion

Please let us know anything else you feel is important about your first visit.