Register patient at Nüvodent

Fill out the form below and we will schedule your appointment. This way you don't have to wait on the phone and we can book you in faster and more accurately.

We will contact you within 3 business days. to schedule an appointment. If you currently have acute pain or a dental emergency, please call +32 (0) 3 344 33 32. Outside of opening hours, please go to our emergency page for the on-call service number.

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Your details

The person filling out this form

Your first name *

Your name *

I am registering someone else (e.g., my child or a family member), not myself

If different: patient details

The person we are registering, if this is not yourself

Patient's first name

Patient name

Further patient details

Patient date of birth *

Patient national register number *

Phone *

Email *

Preference and nature of the appointment

Preferred location *

Prince Albertlei Sint-Jansplein No preference

Is it an emergency? *

Yes No

In an emergency, we will contact you within 1 business day. If you are currently experiencing acute pain outside of opening hours, please call the on-call service number on our emergency page.

Talk *

Preferred dates *

Select 3 dates that work for you. We will try to schedule the appointment on one of these dates.

3 out of 3 remaining to choose

By submitting this form, I agree to Nüvodent's terms and conditions and privacy policy.

Our clinics

Two locations in Antwerp

Nüvodent Prins Albertlei

Prins Albertlei 29, 2600 Berchem

03 344 33 32

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Nüvodent Sint-Jansplein

Sint-Jansplein 51, 2060 Antwerp

03 344 33 32

Check out this clinic

Choose your clinic

Nüvodent Prins Albertlei

Nüvodent Sint-Jansplein

Register patient at Nüvodent

Your details

If different: patient details

Further patient details

Preference and nature of the appointment

Preferred dates *

Two locations in Antwerp

Nüvodent Prins Albertlei

Nüvodent Sint-Jansplein