Request an Appointment

At Bayfair Dental Care, we look forward to your visit. Our San Leandro dentist has a schedule tailored for your convenience. To schedule an appointment, please call us at 510-481-2487.

You may request an appointment online by completing the form below. One of our appointment schedulers will respond to your request within 48 hours. Please do not use this form if you have an urgent medical problem or to re-schedule an existing appointment.

If you are a new patient, click here to fill out new patient forms now, which will save you time in the office.

Please fill in all fields below, unless otherwise indicated:

An asterik (*) indicates required fields

First Name:*
Middle Initial:
Last Name:*
Street Address:*
Suite/Apt/Unit:
City:*
State:*
Zip:*
Date of Birth* (For verification purposes only):	(Format: MM/DD/YYYY)
Primary Phone:*	(Format: 510-123-4567)
Alternate Phone:	(Format: 510-123-4567)
Email Address:*
Preferred Appointment Date:*	(Format: MM/DD/YYYY)
Preferred Appointment Time:*
Alternate Appointment Date:*	(Format: MM/DD/YYYY)
Alternate Appointment Time:*
Comments:
	*The information provided above is true to the best of my knowledge.

15051 Hesperian Blvd, San Leandro, CA 94578 | (510) 481-2487