Skip to Content
Referral Page

Lindgren Dental Referrals

Please complete the form below.

Lindgren Dental Referral

"*" indicates required fields

Patient Information

Patient's Name*
Does The Patient Require Antibiotics Prior to Dental Treatment?*
Please Call patient*

Referring Doctor Information

Referred By*

Procedures

Extractions*
Full Mouth Implants*
Single Implant*
Bone Grafting*
Sedation*

Extracting Information

tooth number chart

Radiographs or Clinical photos

Radiographs / Clinical Photos*
Max. file size: 6 MB.

Case Notes

Schedule Online

Lindgren Dental

6811 S. 167th Street
Omaha, Nebraska 68135
View Map

Hours

Monday: 7:30 a.m.-6:00 p.m.
Tuesday: 7:30 a.m.-4:00 p.m.
Wednesday: 7:30 a.m.-4:00 p.m.
Thursday: 7:30 a.m.-4:00 p.m.
Friday: 7:30 a.m.-11:30 a.m.
Saturday: Closed
Sunday: Closed

Phone

402-861-6565

Fax

402-861-4118

Email Address

[email protected]

Lindgren Dental
Powered by  GDPR Cookie Compliance (opens in a new tab)
Privacy Overview

This website uses cookies so that we can provide you with the best user experience possible. Cookie information is stored in your browser and performs functions such as recognising you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful.