280 W. River Park Dr., Ste. 360, Provo, UT 84604Mon–Fri: 7:30am – 4:30pm
801-437-7701
For Dental Professionals

Online Doctor Referral Form

Submit a patient referral securely online. Our team will contact the patient within one business day to schedule their consultation.

Secure Referral Form

HIPAA-compliant patient referral submission

Other Ways to Refer

Fax
801-437-7702
Address
280 W. River Park Dr., Ste. 360
Provo, UT 84604

What Happens Next

1
We receive your referral securely
2
Our team contacts the patient within 1 business day
3
Consultation is scheduled at their convenience
4
Post-op report sent back to your office

Services We Provide

Our board-certified surgeons are trained in the full scope of oral and maxillofacial surgery.

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