Meet Dr. Luedeker
Services
Patient Paperwork
Contact
Appointments
Back
General Dentistry
Cosmetic Dental Treatments
Pinhole Surgical Technique
Gentle Pediatric Dentistry
Oral Cancer Screening
Whitening and Other Dental Services
Meet Dr. Luedeker
Services
General Dentistry
Cosmetic Dental Treatments
Pinhole Surgical Technique
Gentle Pediatric Dentistry
Oral Cancer Screening
Whitening and Other Dental Services
Patient Paperwork
Contact
Appointments
Request an Appointment
Complete the form below and a member of our team will reach out to confirm your appointment!
Name
*
First Name
Last Name
Phone
*
(###)
###
####
Zip Code
*
Email
Select one of the following:
*
New Patient
Current Patient
Please Select one of the following:
*
Insurance
Self Pay
Day of the Week Preference
Monday
Tuesday
Wednesday
Thursday
Time Preference
Morning
Afternoon
First available
What dental treatment are you interested in?
General Check-up/Cleaning
Toothache/Pain
Existing Treatment Plan
Whitening
Implants
Sinus Lift
Pinhole Surgical Technique (gum recession)
SmileDirectClub
Veneers/Crowns
Dentures/Partials
Other
Additional Information
i.e. multiple appointments (names and ages), description of dental injury, etc.
Thank you! We’ll be in contact soon.
