Easy Day Dental(262) 267-8588Call

Accepting Patients Now, Opening November 15th, 2026

Opening list

Join our opening list

Tell us how to reach you and how you would like us to get in touch. We will ask about you and your family when we call. Submitting the form does not book an appointment. Our team will contact you personally when scheduling opens, with our opening date, hours, the insurance plans we can accept, and how to book.

Prefer to talk? Call (262) 267-8588 and we will add you to the list by phone.

Please keep it non-medical. Do not send symptoms, medical or dental history, or anything about your health through this form. We will collect all of that securely once we are open.

Reaching us before we open

We’d love to hear from you! Give us a call and a member of our team will be happy to help. If we’re unable to answer, leave your name and the best way to reach you, and we’ll get back to you as soon as we can.

While we prepare to open, we ask that you please avoid sharing your medical or dental information by email, voicemail, or through our website. Once we begin welcoming patients, medical histories, dental information, and other clinical details will be collected securely through our patient system.

For referring providers

We welcome referrals from pediatricians, family physicians, general dentists, orthodontists, and the therapists who work with children and adults.

Fields marked are required. Submitting this form does not book an appointment. We will contact you when scheduling opens.

About you

For example, name@example.com

A number we can call or text. Any phone is fine if you do not use a mobile.

Best way to reach you
Appointment details

Optional. The carrier name only, please. Never a member or policy number.

Preferred appointment time

Optional. Please do not include medical, dental, or health details here. We will gather everything clinical securely once we are open.

Contact permission

By submitting this request, you agree that Easy Day Dental may use the phone number and email address you provide to contact you about this request by email, text message (SMS), or phone call. Message and data rates may apply.

Submitting this form does not create an appointment or establish a dentist-patient relationship.

We do not sell or share your details.

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