Mark R. Jensen, D.D.S.
Susan G. Penniston, D.D.S., M.S.
Bradford J. Pugh, D.D.S.
Matthew G. Del Mastro, D.M.D.
Philip J. Wadsworth, D.M.D.
  • Patient Information
    • Introduction
    • First Visit
    • Scheduling
    • Financial/Insurance Information
    • Privacy Policy
    • FAQ
  • Instructions
    • Before Endodontic Treatment
    • Home Care Instructions
  • Dental Anxiety & Sedation
    • Dental Anxiety
    • Nitrous Oxide
    • Oral Sedation
    • IV Sedation
  • Procedures
    • Endodontic Therapy (Root Canal)
    • Endodontic Retreatment
    • Endodontic Surgery (Apicoectomy)
  • Meet Us
    • Meet Dr. Jensen
    • Meet Dr. Penniston
    • Meet Dr. Pugh
    • Meet Dr. Del Mastro
    • Meet Dr. Wadsworth
    • Meet the Staff
    • Office Tour
  • Online Forms
    • Patient Registration
  • Referring Doctors
    • Referral Form
    • Links of Interest
  • Contact Us
    • Contact Information
    • Plymouth Office Map / Directions
    • Maple-Grove Office Map / Directions
    • St. Anthony Office Map / Directions

Referring Doctors

  • Referral Form
  • Links of Interest
 

Online Referral Form

You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.

 

Home | Patient Information | Instructions | Dental Anxiety & Sedation | Procedures | Meet Us| Online Forms | Referring Doctors| Contact Us |Disclaimer | Site Map

 

Mark R. Jensen, D.D.S. • Susan G. Penniston, D.D.S., M.S. • Bradford J. Pugh, D.D.S. • Matthew G. Del Mastro, D.M.D. • Philip J. Wadsworth, D.M.D.

3401 Hwy 169 N, Plymouth MN 55441 • Phone: 763-559-0859 Fax: 763-559-4356

12000 Elm Creek Blvd., Suite 240, Maple Grove, MN 55369 • Phone: 763-416-3619 Fax: 763-416-3695

3905 Silver Lake Road, St. Anthony, MN 55421 • Phone: 612-248-8330 Fax: 612-315-5378

 

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