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Currently Accepting New Patients
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About Us
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Meet Our Team
Dr. Kristy Johnson
Dr. Thomas Wolfe
Services
Advanced Technology
Bone Grafting
Crown Lengthening
Dental Implants
Frenectomy
Gum Tissue Grafting
Laser Therapy
Oral Medicine
Periodontal Disease
Peri-Implant Disease
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Dental Professionals
Refer a Patient
Education Outreach – Registration
Continuing Education
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Appointment Request
Northfield
Owatonna
Red Wing
Rochester
Winona
Menu
About Us
Blog
Meet Our Team
Dr. Kristy Johnson
Dr. Thomas Wolfe
Services
Advanced Technology
Bone Grafting
Crown Lengthening
Dental Implants
Frenectomy
Gum Tissue Grafting
Laser Therapy
Oral Medicine
Periodontal Disease
Peri-Implant Disease
Patients
Appointment Request
First Visit
Forms
Post-op Instructions
Financing Options
Commonly Asked Questions
Resources
Dental Professionals
Refer a Patient
Education Outreach – Registration
Continuing Education
Contact
Appointment Request
Northfield
Owatonna
Red Wing
Rochester
Winona
Refer a Patient
Url
Patient’s First Name
*
Patient’s Last Name
*
Patient’s Phone Number
*
Patient’s Date of Birth
*
Patient’s Address
*
State
*
Zip
*
Referring Dental Office
*
Referring Dentist
Referral Office Email
*
Patient Appointment
Please Call Patient to Schedule an Appointment
Patient Will Call to Schedule an Appointment
P.S. Preferred Location
*
Please Select a Location
Northfield
Owatonna
Red Wing
Rochester
Winona
Date of last panorex or FMX ( *Please Attach Below. )
Date of last set of bitewing x-rays
Patient’s last periodontal maintenance appointment
Active treatment plan
Areas of concern
Additional comments
File Upload
Please attach all pertinent films. If sending patient for periodontal treatment, please
attach FMX or 4 BWs and a Pano
.
Even if slightly outdated
, they can still be helpful to us. For peri-implantitis, older films of the implant are helpful too.
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