• Referral to Dinosaur Dental

    Most insurances accepted, including Medicaid, Fidelis & Child Health Plus. Both General and Pediatric Dentists Available
  • Referred by:

  • I would like to introduce:

  • Reason for referral:

  • Call this number to schedule an appointment - 607-953-4445

    Please fax this sheet to: 607-953-4634

    Give hard copy to patient to bring to their Dinosaur Dental appointment

  • Should be Empty: