Michael T. Tom, DDS, PC
Comprehensive Dentistry

Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Office Hours:
Monday 8:00AM – 5:00PM
Tuesday 7:00AM – 5:00PM
Wednesday 7:00AM – 12:00PM
Thursday 7:00AM – 5:00PM
Friday 7:00AM – 12:00PM 

Please do not use this form to cancel or change an existing appointment.
*Items in bold are required.
Are you a current patient?


Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

Testimonials

Wonderful staff, from Laurie to Dr. Tom. Very caring and talented dentist.

Teresa R.

Dr. Tom, is a fantastic dentist. Miss going there. His staff is amazing. If you need a friendly and reasonably dentist, he's the one to go to.

Marcy S.

View More

Office Location

  • Fort Wayne
  • 1135 West Dupont Road
  • Fort Wayne, IN
  • 46825
  • Map & Directions
  • Call: (260) 490-4600
    •