Make an Appointment – New Patient

Welcome!

If you are a new patient to Shelbourne Dental Clinic, please complete the form below to request an appointment with us. Alternatively, call us on 01 66 55 900 to arrange your first appointment.

If you are an existing patient and would like to make an appointment, please click here.

Personal Information:
Title & Name

Phone:

Email: (required)

Date of Birth:

Address:

Appointment Request (we will do our best to accomodate you and will confirm this with you by email):
Date:

Time:

Approximate Date of your last dental visit:

Additional Information About Your Appointment:

How did you hear about us?

If Friend / Colleague, can you tell us their name so we can thank them

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Opening Hours

Monday 7.30am - 5.00pm
Tuesday 7.30am - 5.00pm
Wednesday 8.00am - 7.00pm
Thursday 7.30am - 5.00pm
Friday 7.30am - 5.00pm
Saturday 9.00am - 3.00pm
Sunday Closed
Bank Holidays Closed

Contact Us

7 Grand Canal Wharf, South Dock Rd, Dublin 4
Eircode: D04 R860
Phone: 01 6655900
Fax: 01 6655901
Website: http://shelbourneclinic.ie
Email: info@shelbourneclinic.ie

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