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.

Business Hours
Monday: Closed
Tuesday: 10:00am - 8:00pm
Wednesday: 10:00am - 8:00pm
Thursday: 8:00am - 6:00pm
Friday: 8:00am - 6:00pm
Saturday: 8:00am - 5:00pm
Sunday: Closed

Patient Forms
To speed up the process when visiting our office we invite you to download the appropriate form. Just bring the completed form with you for your appointment

New Patient Forms - Adult
New Patient Forms - Child
Returning Patient Form

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

 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

Great staff very caring. My teeth have never been cleaned as well and professionally. Highly recommend.

MARIA E.

It was my first visit with Dr. Adatia and it will not be my last. The staff at Corktown dental is warm, professional, and accommodating. They truly care about their patients. Thank you Corktown Dental and Dr Adatia. I will be back!

ANITA K.

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Office Location

  • Toronto
  • 184 Front Street East, Suite 101
  • Toronto, Ontario
  • M5A 4N3
  • Map & Directions
  • Call: (416) 363-5353
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