Fort Wayne, Indiana EDIT1. Confirm LocationWe've determined that this is the closest Refresh Dental office to your location. Would you like to make a new patient appointment request: Fort Wayne, Indiana Location Refresh Dental Fort Wayne 435 West Coliseum Boulevard Fort Wayne, Indiana 46805 Owned and Operated by:The Professional Dental Alliance LLC Hours Mo - ClosedTu - 8:00 AM - 5:00 PMWe - 8:00 AM - 5:00 PMTh - 8:00 AM - 5:00 PMFr - 8:00 AM - 3:00 PMSa - Closed *Please be aware that this does not confirm an appointment. YesNo 2. Who is this exam for?Are you an existing patient?YesNo Please Call Refresh Dental Fort Wayne at (260) 399-4880 Are you 18 years of age or older?YesNo Please Call Refresh Dental Fort Wayne at (260) 399-4880 What type of insurance do you have?*Private or Employer ProvidedGovernment ProvidedSelf-pay (no insurance) Please Call Refresh Dental Fort Wayne at (260) 399-4880 3. Select a Day and TimePrimary reason for your visit?CheckupCosmeticDenturesBroken ToothTooth PainOtherRequest Date Request Time : HH MM AM PM Full Name*Phone Number*Secondary Phone NumberEmail Address* Do you have insurance?YesNo EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.