Hattiesburg, Mississippi 39402

Answering Service 24/7

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Core Values
Patient Information

Referrals

Referrals

Printable Referral

Electronic Referral

Contact Us

Patient Name

Phone Number

Referring Doctor

Appt. Date

Evaluate/Treat

Extraction

Alveloplasty

Soft tissue augmentation

Implants

Torus removal

Crown lengthening

Infection

Frenectomy

Sinus elevation

Apicoectomy

Expose/Bond

Socket preservation

TMD/Splint

Sleep apnea

Ridge augmentation

CBCT

Jaw surgery

Trauma

Biopsy/Lesion

Preferred Implant

Nobel

Zimmer

31 (Short)

Surgeon Preference

Radiographs

Emailed (preferred)

Pt. Will Bring

Take as Necessary

Please Contact Me Prior to Proceeding with Treatment

Proposed Implant Treatment

Screw Retained

Cement Retained

Locators

Full Arch Hybrid

Bar

Implant Bridge

RPD-Distal Ext.

Full Arch C&B

Please Discuss and Review Multiple Implant Options

Comments

Provisional Temporization Plan

Flipper to be Provided by Referral

Impression Taken

Please Send Patient Back for Impression

Essex to be Provided by Referral

Immediate Provisional Crown

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We’d love to hear from you! Call our friendly team at 601-337-3822.

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BROWSE OUR WEBSITE

Home
Meet Dr. Bishop
Meet the Team
Services
Referrals
Contact
Career Opportunities
Core Values
Patient Information

CONTACT INFORMATION

Phone: 601.337.3822

Answering Service Provided 24/7

Fax: 601.475.0190

Email: sos@serenesurgery.com

Address: 6747 US HWY 98

Hattiesburg, Mississippi 39402

BUSINESS HOURS

Mon - Thu: 8:00 am - 5:00 pm
Friday: 8:00 am - 12:00 pm
Sat - Sun: Closed

Emergency appointments available.

Visa Payment Accepted

MasterCard Payment Accepted

American Express Payment Accepted

Discover Payment Accepted

Credit Care Payments Accepted

Cash Payment Accepted

Financing Payment Available

Check Payment Accepted

Accessibility Statement

HIPAA Privacy Policy

Anti-Discrimination Statement

BROWSE OUR WEBSITE

Home
Meet Dr. Bishop
Meet the Team
Services
Referrals
Contact
Career Opportunities
Core Values
Patient Information

CONTACT INFORMATION

Phone: 601-337-3822 Answering Service Provided 24/7

Fax: (601) 475-0190

Email: sos@serenesurgery.com

Address: 6747 US HWY 98

Hattiesburg, Mississippi 39402

BUSINESS HOURS

Mon - Thu: 8:00 am - 5:00 pm
Friday: 8:00 am - 12:00 pm
Sat - Sun: Closed

By appointment only

Visa Payment Accepted

MasterCard Payment Accepted

American Express Payment Accepted

Discover Payment Accepted

Credit Care Payments Accepted

Cash Payment Accepted

Financing Payment Available

Check Payment Accepted

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