Fill Out Our Patient Registration Form Online, Or Print It & Bring It With You To Your First Appointment

To schedule an appointment, please call us at 704-347-3900 or fill out the contact form below with your info. New patients looking to expedite the registration process may choose to use the online form.

You can also download the registration form using the links on this page and bring it with you on your appointment day.

You can also just fill out a copy in the office on your first visit.

Learn More About Our Locations:

Blakeney Oral Surgery Office

8840 Blakeney Professional Dr #300
Charlotte, NC 28277
704-716-9840
Fax: 704-716-9841

Concord Oral Surgery Office

130 Lake Concord Rd.
Concord, NC 28025
Tel: 704-788-1192
Fax 704-788-1178

Greenville, SC

280 Rocky Slope Road
Greenville, SC 29607

Ph: 864-751-9972
Fax: 864-751-9974

University Oral Surgery Office

8738 University City Blvd.
Charlotte, NC 28213
Tel: 704-547-0837
Fax: 704-547-1274

Billingsley Oral Surgery Office

411 Billingsley Rd #105
Charlotte, NC 28211
Tel: 704-347-3900
Fax 704-347-0133

Rock Hill, SC

1761 Ebenezer Road.
Rock Hill, SC 29732

Ph: 803-207-8318
Fax: 803-992-7233

LKN/Denver Oral Surgery Office

7482 Waterside Crossing Blvd., Ste 101
Denver, NC 28037
Tel: 704-820-2982
Fax 704-820-3185

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