Contact Us

Please share your contact details, health information, and reason for visiting so our team can prepare for your appointment with thoughtful, personalized care.

Patient Information

Name(Required)

First Last

GENDER(Required)

DATE OF BIRTH(Required)

EMAIL ADDRESS(Required)

PHONE NUMBER(Required)

Parent / Guardian

Required if patient is a child (under 18).

PARENT / GUARDIAN:

Parent

Guardian

Doesn't Apply

Required if patient is a child (under 18)

PARENT / GUARDIAN NAME(Required)

First Last

PARENT / GUARDIAN PHONE NUMBER(Required)

Appointment Details

REASON FOR VISIT(Required)

IF YOU ARE A NEW PATIENT, HOW DID YOU HEAR ABOUT US?(Required)

OTHER

Get In Touch With Us

Have you been referred to our office and need to book an appointment, or do you need to speak to a dentist? Feel free to contact us by phone or our contact form below. We are located on the sixth floor in the Park Lane Shopping Centre, located at 5657 Spring Garden Road in downtown Halifax.

Call us today

(902) 422-5454

Email address

info@parklanedental.ca

Location

5657 Spring Garden Road, Suite 600, Halifax, NS B3J 3R4

Hours

Monday - Friday

8:30am - 5:00pm

Saturday

By Appointment Only

Sunday

Closed

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Contact Us

Patient Information

Parent / Guardian

Appointment Details

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