Contact Our Millcreek Dentist Office! To request an appointment, please fill out the form below—or just give us a call. Appointment Request Form - Tracking LeadsFirst Name Last Name Email LocationZip Code I am a: New Patient Current PatientHow did you learn about our office? Search Engine (Google) Great Online Reviews Advertisement in Mail Social Media (Facebook, Twitter, Instagram etc) Referred by Current Patient OtherPlease tell us how you learned about our office: Who can we thank for referring you to our office? Please include any relevant information or requests here. (Optional) Submit Form Reason To Smile Dental Please feel free to contact our friendly staff with any dental enquiry. (801) 719-5447 4110 S. Highland Dr., Suite 100a Salt Lake City, UT 84124 ABOUT US