top of page
Dr. Fricke is happily accepting new patients, and we are participating with most major insurances.
Please fill out an appointment request and one of our staff members will contact you the next business day.
Name (First & Last)
What days work best for you?
What time of day is best?
What kind of appointment is needed?
Procedure (filling, crown, extraction)
Are you a current patient?
Please give us a brief explanation of why appointment is needed
Insurance Information Needed: Name of Subscriber, Date of Birth of Subscriber, Employer, Member ID #, Group # , Phone number (on back of card)
Thanks for submitting!
bottom of page