ADA Accessibility Information


Announcement Banner

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  

Preferred Provider: *

Dr. Buskin
Dr. Castellon
Dr. Gabrielle Jackson
No preference

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:



How do you prefer to be contacted? *

  Email   Phone  


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


Copyright © 2016-2024 Dallas Prosthodontics and WEO Media (Touchpoint Communications LLC). All rights reserved.  Sitemap
About Us • Prosthodontist Dallas • Dallas Prosthodontics
Here at Dallas Prosthodontics, we focus on cosmetic dentistry, bridges, partials and dental implants, giving you the smile you've always dreamed! Call us today!
Dallas Prosthodontics, 6029 Belt Line Road, Suite 120, Dallas, TX 75254 • (972) 503-7200 • • 7/17/2024 • Page Keywords: Prosthodontist Dallas TX •