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Providers

We work with physicians and dentists to treat patient with obstructive sleep apnea using mandibular advancement devices. We provide teledentistry services to patients and can provide a model of care that will fit with your needs. If you feel that we could help your patients please feel free to call or contact our office. 

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If you would like to refer your patient please fill out the following form using a computer:

Referral Form

Referring office information:

Phone:

832-422-8099

Email:

info@spiradental.com

Fax:

832-408-7692

Patient information:

Purpose of referral:

To better serve your patients please upload the following information:

Sleep study

Upload File
Max File Size 15MB

Clinical notes

Upload File
Max File Size 15MB

Prescription to treat with

letter of medical necessity

Upload File
Max File Size 15MB

Medical insurance (optional)

Upload File
Max File Size 15MB

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