Referral form

You may refer patients to our office by filling out the Referral form below. After you have completed the form, please fax it to our office at 678-835-9559. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.

How we can help...

We offer a wide range of procedures to help you get the perfect smile.

We accept all PPO insurances. We are in network with Delta Dental, Humana, Metlife, Cigna, United Healthcare, Aetna, United Condordia, Guardian, Blue Cross Blue Shield