top of page

Appointment Request

Patient Contact Information

The first step toward achieving a beautiful, healthy smile is to schedule an appointment. To schedule an appointment, please complete and submit the request form below. Our scheduling coordinator will contact you soon to confirm your appointment.

Please note this form is for requesting an appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly.


Dr. Brandon Fairbanks, DDS, MS

Dr. Wade Thompson, DDS, MS

Dr. Brady N. Maxfield, DDS, MS

5502 W. 13400 So., Suite A   Herriman, UT  84096

801-997-5729 ph     801-849-1259 fax


  • Instagram
  • Facebook
bottom of page