Cincinnati, Ohio Dentists: ROBERTS & ROBERTS, DDS are general and multi-specialty dental professionals located Cincinnati, Ohio. Our services include general dentistry as well restorative and cosmetic dental services, including but not limited to tooth whitening, Cerec porcelain crowns, bondings, veneers, tooth implant restorations and invisible braces. Also offering relaxation services including massage therapy.
Bradley S. Roberts, DDS Eugenia P. Roberts, DDS & Associates, Inc.
11907 Montgomery Road, Suite B
Cincinnati, Ohio 45249
tel: (513) 697-1211
fax: (513) 697-1214
Contact us: michelle@robertsdentalgroup.com
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Cincinnati, Ohio Dentists: ROBERTS & ROBERTS, DDS are general and multi-specialty dental professionals located Cincinnati, Ohio. Our services include general dentistry as well restorative and cosmetic dental services, including but not limited to tooth whitening, Cerec porcelain crowns, bondings, veneers, tooth implant restorations and invisible braces. Also offering relaxation services including massage therapy.

Office Hours
Monday 8:00-4:00
Tuesday 7:00-6:30
Wednesday 7:00-4:00
Thursday 7:00-4:00

New Patient Appointment Form

Please fill out the form below. Our staff will contact you to finalize your appointment request on our next business day.

NOTE: This form is NOT intended for urgent dental care. If you have had an accident and/or are in severe pain, and cannot wait until our next business day, please call 513-697-1211 for our emergency phone number or go to an urgent care facility.

Patient Information
(*required)
Full Name*:
Email*:   Phone*:
Contact me by (check all that apply*):
Email Phone
Do you have dental insurance?*
Yes No
If yes, please provide the following:
Insured's Employer:
Insurance Company:
Appointment Preferences

**Please allow 60-90 minutes for your first appointment with us.**
What time of day do you prefer (check all that apply)?*
Flexible
Early as possible (7:00 – 9:00 am)
Morning (9:00 – 11:00 am)
Afternoon (11:00 – 2:00 pm)
Late as possible (2:00 – 5:00 pm)
What day(s) of the week work for you (check all that apply)?*
Monday
Tuesday
Wednesday
Thursday
Please describe the nature of your request (for example, "checkup and cleaning," "I'm in pain," "I am making appointments for my children, Jack and Jill," or "I have an insurance question, too"):
Cancellation Policy: Please give 24 hours notice for cancelled appointments or a $50 per hour fee may be charged.
Confirmation Policy: Confirmation Policy: We confirm appointments two business days in advance by email or text.
Upon Submitting this form you will be redirected to our New Patient Page where you can complete the New Patient Information Form.