Appointment Request Charlotte -Myers Park Location Address: 118 So. Colonial Avenue Charlotte, NC 28207 Phone: 704.332.6200 Email: office@drtomfarley.com Name(Required) First Last Email(Required) Phone(Required)Are You a Current Patient?(Required) Yes No Preferred Appointment Time Mornings Afternoon First Available *We will call you to confirm an appointment timeWhat Are You Interested In?Oral Wellness ProgramPorcelain VeneersCrownsTeeth Whitening ProceduresDental ImplantsTooth Colored FillingsCEREC RestorationHow May We Help You?EmailThis field is for validation purposes and should be left unchanged.