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Appointment Request

We are excited to be scheduling appointments and welcoming you to our new office in Bala Cynwyd.

Look forward to seeing your smiles very soon. 


The first step towards a beautiful, healthy smile is to schedule an appointment.

Please contact our office by email at DrLeighAnnSmiles@gmail.com or by phone at 610-667-3631/DMD1

or complete the appointment request form below.

Our scheduling coordinator will contact you to schedule/confirm your appointment.


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

Patient Information

Patient Availability

Reason For Visit

Note: Messages sent using this form are not considered private. Please contact our office by telephone at 610-667-3631 if sending highly confidential or private information.

1 Belmont Avenue|Bala Cynwyd, PA 19004|MAP & Directions

Call: 6106673631