Appointment Request

Use the form below to request an appointment. We'll get back to you within one business day to confirm a time. For anything urgent — pain, a broken tooth, a lost crown — please call 206 723-3340 instead.

To cancel or reschedule an existing appointment, please call us directly rather than using this form.

Patient Information

NamePlease enter your name

EmailInvalid Email address

PhonePlease fill in phone or email address!

Are you a current patient?YesNo

How did you hear about us?

Patient Availability

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

Preferred time(s) for an appointment? Any TimeMorningNoonAfternoonEvening

Reason For Visit

Please describe the nature of your appointment?

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

Connect With Us

Ready to come in for an appointment?
Contact us today!

Hasegawa Family & Esthetic Dentistry

Michael Nguyen, DMD

Family & esthetic dentistry in Columbia City

Seattle Dentist, Dr. Michael Nguyen is a professional dedicated to Excellence in General, Family, & Cosmetic Dentistry such as Dental Implants, Cleanings & Prevention, Restorations & many other dental procedures. Please come and visit Seattle Dentist, Dr. Michael Nguyen.

2026

•Site Map •Accessibility Viewer •

Site Developed by ProSites.com

Welcome
Pay Online
Our Practice
New Patient Forms
Patient Reviews
Financial Options
Appointment Request
Contact