Referring Physicians

Thank you for choosing Children & Teen Dental. We are committed to providing excellent service and care to you and your patients. We are fortunate to maintain strong relationships with other physicians in our area, and our mutual referral process is instrumental in connecting us with patients in need.

Referring Physician Liaison

Our liaison is available to answer your questions about appointment scheduling, our physicians and services, education seminars, or other concerns. She can also schedule a meeting to introduce our physicians to your staff.

Contact our Referring Physician Liaison at 770-744-4581

Thank you for trusting your patient’s care to us.
Children & Teen Dental


Referring Physician Referral Form

Please complete the form below to refer a patient to Children & Teen Dental. We will contact the patient and schedule the appointment.





Referring Physician Information


Patient Information


Referral Information

We are providing this Contact Us form as a convenience but your message to us should not imply the creation of a doctor-patient relationship (which only happens when you come to our office for a visit). We therefore ask that you not include personal health information in your message. Please call us if you’d like to send us personal information so that we can make sure it’s handled securely.


Schedule Your Appointment Now

Children & Teen Dental, provides specialized, comprehensive oral health care for infants, children, and adolescents in a fun, stress-free environment that focuses on prevention and education. Our goal is to help your child be healthy and enter adulthood free of dental diseases and dental fears – with good oral health habits that will last a lifetime.

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About Us

Children & Teen Dental is a group of dedicated professionals who believe in building lasting relationships in our communities and with our patients. Our priority is to make a positive impact in your child’s life by enhancing self-confidence, self-esteem and overall dental health.



 Children & Teen Dental maintains this website as a service to our patients as well as our community. While Children & Teen Dental and our affiliates strive to keep the information contained in this site current, no warranty or guarantee concerning accuracy of content is made. Some of the information contained in this site relates to medical topics and issues; however, no information in the site should be construed as medical advice. All questions regarding your health or possible health problems should be directed to your provider. In addition, this site includes links to other websites; however, Children & Teen Dental does not endorse the linked sites, and takes no responsibility for the content or information contained in the linked sites. All rights reserved. No part of this website may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of Children & Teen Dental.

Schedule an Appointment for Your Child

Fill out the form below and we will be in touch shortly!

We are providing this Contact Us form as a convenience but your message to us should not imply the creation of a doctor-patient relationship (which only happens when you come to our office for a visit). We therefore ask that you not include personal health information in your message. Please call us if you’d like to send us personal information so that we can make sure it’s handled securely.