Tooth & Co

4330 Hwy 7
St Louis Park, MN 55416

Phone: 952-920-8234
Fax: 612-437-4725
Email: info@toothandco.com

OFFICE HOURS:
Monday: 10:00 am - 6:00 pm
Tuesday: 10:00 am - 6:00 pm
Wednesday: 7:00 am - 3:00 pm
Thursday: 7:00 am - 3:00 pm
Friday: 7:00 am - 3:00 pm
Saturday and Sunday: CLOSED

Refer a patient

Thank you for thinking of us for your pediatric patients!

We are dedicated to professionalism and excellence in customer service. We appreciate your consideration of our practice for your referrals. Please provide your complete address the first time you refer a patient. We are contracted with most major insurance plans but we do not currently accept MA plans. We only offer treatment to pediatric patients and some condition specific special needs patients. When appropriate we can offer in-office conscious oral sedation, or hospital treatment under general anesthesia. 

Referring Doctor Phone #: *
Referring Doctor Phone #:
Referring Practice Address:
Referring Practice Address:
Patient Name: *
Patient Name:
Patient Date of Birth: *
Patient Date of Birth:
Patient Phone #: *
Patient Phone #:
Please Evaluate Patient For: *
Radiographs: *
(Most Recent X-Rays -- Please forward to info@toothandco.com)
Please keep me informed
Communication Preference
 

NEW PATIENTS WELCOME: 952.920.8234
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© 2014 TOOTH&CO. ALL RIGHTS RESERVED.