Appointment Request

Office Hours 
Monday: 10AM - 6PM
Tuesday - Thursday: by appointment only
Friday: 8AM - 4PM
Saturday:  9AM - 1PM
Sunday: closed

Please contact our office by phone or complete the appointment request form below. Alternatively, please feel free to use Zocdoc to make an appointment. 

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

*Items in bold are required.
Are you a current patient?

Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):


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



New Leaf Pediatric Dentistry is proud to serve Fort Lee in Bergen County, NJ and all surrounding areas in NJ and NY including Palisades Park, NJ; Leonia, NJ; Ridgefield, NJ; Englewood, NJ; Englewood Cliffs, NJ; Tenafly, NJ; Closter, NJ; Alpine, NJ; Edgewater, NJ; Cliffside Park, NJ; Fairview, NJ; Weehawken, NJ; Hackensack, NJ; Little Ferry, NJ.