1.501.408.4774 Get Directions

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2305 Springhill Rd
Suites 1 & 2
Benton, AR 72019
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Contact and Appointment Request Form

We look forward to hearing from you! Use the form below to request information or to make an appointment. We generally reply within 24 hours.

NOTE: This form does not confirm your appointment date and time. You will receive a call from Impact Oral Surgery to confirm your appointment details.

To re-schedule your appointment, please do not use this form but rather call us at 1.501.408.4774.