Dental Professionals Referral Form

  • Please note: This examination will be scheduled for one hour to adequately compile medical, clinical, and past dental information. Codes used include: D0180 plus any x-rays determined to be required. There is a fee for this service.

Reach Us


3475 Plymouth Blvd. Suite 200

Plymouth, MN 55447

Phone: 763-694-6158 / Fax: 763-577-1375

Map / Directions