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Request an Appointment

Please fill out the form below and we will contact you with an appointment time. Required fields are marked with asterisks (*).

Patient Information

Name: *

Phone: *

Email address: *

Have you visited our office before? *

Yes No  

What is the reason for the appointment? *

  Regular Exam / Cleaning
  Specific Concern / Procedure

What concerns, if any, would you like to speak to the doctor about:

Confirmation

How do you prefer to be contacted? *

Text Phone  

 
 

It may take a moment to submit your information. Please wait for a confirmation message.

 

Raptou Family Dental Are Proud Members Of:


Members of the American Dental Association
Members of the Columbus Dental Society
Members of the Central Ohio Dental Forum
Members of the Seattle Study Club
Members of LVI Global
Members of the Ohio Dental Association

Contact Raptou Family Dental Today


Our Columbus dentists are the first step to a healthier, happier you!



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(614) 427-0449

Raptou Family button for social location at double resolution 136 Northwoods Blvd STE A1
Columbus, OH 43235-4728
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Request an Appointment Online - Columbus, OH • Raptou Family Dental
At Raptou Family Dental, we make it easy to request your appointment online. Visit our website to access the secure form, and we'll get in touch to confirm your appointment.
Raptou Family Dental, 136 Northwoods Blvd, STE A1, Columbus, OH 43235 / (614) 427-0449 / raptou.com / 11/18/2025 / Page Keywords: Dentist Columbus OH /