Terry Bass, DDS Oklahoma City Dentist Logo

Make An Appointment

While we're always striving to make our patients' lives better through our family and aesthetic dentistry practices, we're also interested in making their lives easier and more convenient.

That's why we offer this on-line appointment feature. Just fill in the fields below and you'll get a confirmation of your appointment on line within 24 hours. If we're not able to meet your schedule requirements, we'll call you back to arrange the time of your next visit.

If you're a new patient to the practice, we look forward to seeing you... and we're pleased to offer you this Internet Appointment Special: 20 percent off your initial office visit (excluding certain procedures and services). If you've been referred by one of our patients, be sure to include their name to enable us to credit them in our Patient Referral Program.

Dr Terry Bass DDS - Providing services in cosmetic dentistry in the area of Oklahoma City.

NAME

ADDRESS

CITY

STATE

ZIP CODE

BEST PHONE NUMBER TO REACH YOU

HOME

OFFICE

CELL

SECONDARY PHONE NUMBER

HOME

OFFICE

CELL

 

E-MAIL ADDRES

INSURANCE PROVIDER

ARE YOU A FIRST TIME PATIENT?

Yes No

HOW DID YOU HEAR ABOUT US?

REFERAL
RADIO
PHONE
DIRECTORY
OTHER

IF YOU ARE A REFERAL, WHO REFERRED YOU?

 


2816 NW 58th St. Suite 105
Oklahoma City, OK 73112
Telephone: 405.848.7780
Fax: 405.848.7781
Email: lookandfeelgood@drterrybass.com
Oklahoma City Cosmetic Dentist