Referral Form

Click on the link above to print our Referral letter in PDF format.

This form may be faxed to us at 972-713-6794, or emailed to [email protected]. The form may be given to the patient to bring with them to their appointment. The maps and contact info may be helpful to them.

Patient Information

Thank you for your interest in Plano Endodontics, PC, a dental practice dedicated exclusively to endodontic care. We are specialist members of the American Association of Endodontists.

Scheduling

We will schedule your appointment as promptly as possible. If you have severe pain or an emergency situation, every attempt will be made to see you that day.

Contact Us

5072 W Plano Pkwy Ste 180 Plano, TX 75093-4469 Phone: Plano Office Phone Number 972-713-6644 Fax: 972-713-6794

Referral Form

Patient Information

Scheduling

Contact Us

Kimberly G. Holt, DDS

Plano Endodontics, PC