Referral form

If you would like to refer a patient to our office, please complete the Referral Form below. After filling out the form, fax it to our office at 678-835-9559. We take the security and privacy of patient data seriously and have implemented strict measures to protect it.

We Can Help You Achieve Your Best Smile

We provide a variety of dental procedures designed to help you achieve a beautiful, healthy smile tailored to your needs.

We accept all PPO insurances and are in-network with leading providers such as Delta Dental, Humana, Metlife, Cigna, United Healthcare, Aetna, United Concordia, Guardian, and Blue Cross Blue Shield.