Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.

Office Hours: 

Mon: 8:00AM - 4:30PM

Tues: 8:00AM - 4:30PM

Wed: 8:00AM - 4:30PM

Thurs: 8:00AM - 12:00PM




Patient Information

Patient Availability

Reason For Visit

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

Where to Find Us

Call: (618) 439-4391

405 E Park St
Benton, Illinois 62812-1971

Email: dbreedendmd@gmail.com

405 E Park St|
Benton, Illinois 62812-1971

©2025 Dawn A Jackson-Breeden, DMD, LTD|Site Map