Request An Appointment Please complete the form below to request an appointment time with Dr. Newkirk. One of our staff members will contact you to setup a time that is convenient for you. Your information and privacy is protected. For more information please review our privacy policy.Name* First Last Email* Enter Email Confirm Email Phone*Please tell us the reason for your visit, or if you have any questions or concerns about your dental health that you would like addressed during your visit.Are you a new patient?*YesNoHow did you come to choose our practice?*NameThis field is for validation purposes and should be left unchanged.