kingstreetdental.com.au
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Submitted URL: http://kingstreetdental.com.au/contact-us/
Effective URL: https://kingstreetdental.com.au/contact-us/
Submission: On February 10 via api from US — Scanned from US
Effective URL: https://kingstreetdental.com.au/contact-us/
Submission: On February 10 via api from US — Scanned from US
Form analysis
2 forms found in the DOMGET https://kingstreetdental.com.au/
<form role="search" method="get" class="et-search-form" action="https://kingstreetdental.com.au/">
<input type="search" class="et-search-field" placeholder="Search …" value="" name="s" title="Search for:">
</form>
POST https://kingstreetdental.com.au/contact-us/
<form class="et_pb_contact_form clearfix" method="post" action="https://kingstreetdental.com.au/contact-us/">
<p class="et_pb_contact_field et_pb_contact_field_0 et_pb_contact_field_half" data-id="name" data-type="input">
<label for="et_pb_contact_name_0" class="et_pb_contact_form_label">Your Full Name</label>
<input type="text" id="et_pb_contact_name_0" class="input" value="" name="et_pb_contact_name_0" data-required_mark="required" data-field_type="input" data-original_id="name" placeholder="Your Full Name">
</p>
<p class="et_pb_contact_field et_pb_contact_field_1 et_pb_contact_field_half et_pb_contact_field_last" data-id="phone" data-type="input">
<label for="et_pb_contact_phone_0" class="et_pb_contact_form_label">Phone Number</label>
<input type="text" id="et_pb_contact_phone_0" class="input" value="" name="et_pb_contact_phone_0" data-required_mark="required" data-field_type="input" data-original_id="phone" placeholder="Phone Number">
</p>
<p class="et_pb_contact_field et_pb_contact_field_2 et_pb_contact_field_half" data-id="email" data-type="email">
<label for="et_pb_contact_email_0" class="et_pb_contact_form_label">Email Address</label>
<input type="text" id="et_pb_contact_email_0" class="input" value="" name="et_pb_contact_email_0" data-required_mark="required" data-field_type="email" data-original_id="email" placeholder="Email Address">
</p>
<p class="et_pb_contact_field et_pb_contact_field_3 et_pb_contact_field_half et_pb_contact_field_last" data-id="doctor" data-type="select">
<label for="et_pb_contact_doctor_0" class="et_pb_contact_form_label">Choose a Doctor</label>
<select id="et_pb_contact_doctor_0" class="et_pb_contact_select input" name="et_pb_contact_doctor_0" data-required_mark="not_required" data-field_type="select" data-original_id="doctor">
<option value="">Choose a Doctor</option>
<option value="No Preference">No Preference</option>
<option value="Dr Sheikha Singh">Dr Sheikha Singh</option>
<option value="Dr Brian Lawler">Dr Brian Lawler</option>
</select>
</p>
<p class="et_pb_contact_field et_pb_contact_field_4 et_pb_contact_field_last" data-id="message" data-type="text">
<label for="et_pb_contact_message_0" class="et_pb_contact_form_label">Reason for Visiting</label>
<textarea name="et_pb_contact_message_0" id="et_pb_contact_message_0" class="et_pb_contact_message input" data-required_mark="required" data-field_type="text" data-original_id="message" placeholder="Reason for Visiting"></textarea>
</p>
<input type="hidden" value="et_contact_proccess" name="et_pb_contactform_submit_0">
<div class="et_contact_bottom_container">
<button type="submit" name="et_builder_submit_button" class="et_pb_contact_submit et_pb_button">Submit Appointment Request</button>
</div>
<input type="hidden" id="_wpnonce-et-pb-contact-form-submitted-0" name="_wpnonce-et-pb-contact-form-submitted-0" value="da03d2129a"><input type="hidden" name="_wp_http_referer" value="/contact-us/">
</form>
Text Content
(02) 4929 4143 info@kingstreetdental.com.au * Facebook * Instagram * Facebook * Instagram * Home * Services * Cosmetic Dentistry * Dentures & Implants * Emergency Dental * General Dentistry * Orthodontics * Wisdom Tooth Removal * Blog * Contact Us Select Page * Home * Services * Cosmetic Dentistry * Dentures & Implants * Emergency Dental * General Dentistry * Orthodontics * Wisdom Tooth Removal * Blog * Contact Us KING STREET DENTAL CONTACT US Book an appointment CONTACT US OUR ADDRESS Ground Floor, 255 King Street Newcastle NSW 2300 (Next to Godfreys) PHONE Call our office to make an appointment (02) 4929 4143 OPENING HOURS Mon – Sun : 7:00am – 8:00pm All bookings are by appointment only Your Full Name Phone Number Email Address Choose a Doctor Choose a DoctorNo PreferenceDr Sheikha SinghDr Brian Lawler Reason for Visiting Submit Appointment Request Ground Floor, 255 King Street, Newcastle, NSW, 2300 P. (02) 4929 4143 E. info@kingstreetdental.com.au Trading Hours Mon – Sun : 7:00 AM – 8:00 PM *All bookings are by appointment only * Home * Services * Cosmetic Dentistry * Dentures & Implants * Emergency Dental * General Dentistry * Orthodontics * Wisdom Tooth Removal * Blog * Contact Us * Home * Services * Cosmetic Dentistry * Dentures & Implants * Emergency Dental * General Dentistry * Orthodontics * Wisdom Tooth Removal * Blog * Contact Us Copyright © (2023) King Street Dental