614.436.2277
825 High Street
Worthington, OH 43085
Matthew S. Niemiec D.D.S, M.S.
Alexandra Smolik D.D.S, M.S.
Practice Limited to Endodontics

Refer A Patient

Refer a Patient to Microsurgical Endodontics

Referring a patient to our office is as easy as calling us at 614-436-2277.

You may also fax a copy of your patient’s referral form to us at 614-436-2322.

Please feel free to download our referral form. This is a 2-sided sheet with referral information on the front and maps to our offices on the back.

We also have these in padded format. Please send us an email and we will be happy to mail or deliver these to you.

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