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Referral Form

    Please indicate the problem areas in the field below:

    Refer a patient

    Thank you for considering Oral & Facial Surgery for your patient’s needs. We strive to provide exceptional results and care and work to build relationships with our referring dentists and dental specialists for a comprehensive approach. Please fill out the form to the left with your patient’s information. If you have any questions, don’t hesitate to contact us.

    Are You Ready to Enhance
    Your Quality of Life?

    Our procedures not only help to improve your appearance but they also allow you to chew, speak, smile and enjoy life to the fullest. Learn how we can help you achieve the results you desire in a professional, welcoming atmosphere.

    Opelika Office

    2971 Corporate Park Dr
    Opelika, AL 36801

    334-749-3436

    Mon – Fri 8am – 5pm

    Auburn Office

    747 N Dean Rd
    Auburn, AL 36830

    334-749-3436

    Mon – Fri 8am – 5pm

    Alex City Office

    839 Airport Dr ste. 103
    Alexander City, AL 35010

    334-749-3436

    Tue and Fri 8am – 4pm

    Columbus Office

    4405 N Stadium Dr
    Columbus, GA 31909

    706-507-0901

    Mon – Fri 8am – 5pm

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