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Our Practice
The Team
Clinic

Oral Surgery

Our Services
Dental Implants
Bone Grafting
Pathology
Dental extraction
Orthodontic anchorage (mini-implant)
Surgical exposure of impacted teeth
Pre-prosthetic surgery
Wisdom Teeth Removal
Intra-venous sedation

Endodontics

Root Canal therapy
Endodontic re-treatment
Apicoectomy

Patient referral
Endodontics
Oral surgery

Patient Info
Patient Information
Financial Options

518-561-0301

Home
Our Practice
- The Team
- Clinic
Our Services
Oral Surgery
Endodontics
Patient referral
- Endodontics
- Oral surgery
Patient Info
- Patient Information
- Financial Options
Contact

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Home / Patient referral / Endodontics

Endodontics

Patient Name *

Parent or Guardian *

Patient Phone *

Patient Email *

X-rays:

Emailed Sent with patient Please take x-rays

Please check all that apply

Current Conditions:

Previous Pulp Treatment Pulp Exposure Pulpotomy/Pulpectomy Apical Infection

Services Requested:

Consultation Only Evaluate &Treat Retreatment Non-Vital Bleaching

Comments

Reffering Doctor: *

Phone *

* Required fields

New patients welcome!

Our Practice

The Doctors
Clinic

Our Services

Dental Implants
Bone Grafting
Pathology
Dental extraction
Orthodontic anchorage (mini-implant)
Surgical exposure of impacted teeth
Pre-prosthetic surgery
Wisdom Teeth Removal
Intra-venous sedation
Root Canal therapy
Endodontic re-treatment
Apicoectomy

Patient Info

Patient Information
Financial Options

Lake Front Dental Group

205 W Bay Plaza, Plattsburgh, NY 12901
Phone: 518-561-0301

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