Introduction: The COVID-19 pandemic has posed many challenges, including provision of urgent dental care. This paper presents a prospective service evaluation during establishment of urgent dental care in the North-East of England over a six-week period. Aim: To monitor patient volumes, demographics and outcomes at the North-East urgent dental care service and confirm appropriate care pathways. Main Outcome Methods: Data were collected on key characteristics of patients accessing urgent care from 23rd March to 3rd May 2020. Analysis was with descriptive statistics. Results: There were 1746 patient triages, (1595 telephone and 151 face-to-face) resulting in 1322 clinical consultations. The most common diagnoses were: symptomatic irreversible pulpitis MESHD or apical periodontitis MESHD periodontitis HP. 65% of clinical consultations resulted in extractions, 0.5% an aerosol generating procedure. Patients travelled TRANS 25km on average to access care, however this reduced as more urgent care centres were established. The majority of patients were asymptomatic TRANS of COVID-19 and to our knowledge no staff acquired infection MESHD due to occupational exposure. Conclusion: The urgent dental care centre effectively managed urgent and emergency MESHD dental care, with appropriate patient pathways established over the 6-week period. Dental preparedness for future pandemic crisis could be improved and informed by this data.