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200 Commerce Dr Suite 203, Moon Township, PA 15108
490 E. North Ave Sleep Center, Suite 309 Pittsburgh, PA 15212
Central phone for all locations: 412-367-0367
Fax: 412-774-5848
Fax: 412-367-0366

Insurance
Patient Forms
Sleep Apnea
Patient Oral Appliance Instructions Video
Patient Testimonials
Video Testimonials
Videos for Sleep Lab Technicians
Referring Physicians
Referring Dentists

Our Practice

Please print and fill out these forms so we can expedite your first visit:

Patient Information
Health Questionnaire
Assignment Of Benefits
Consent for Treatment
Disclosure of Health Information Form
Referring Dentist Form
Reffering Physician Form

Dentist - Pittsburgh 135 Cumberland Road, Suite 104 Pittsburgh, PA 15237 (412) 367-0367
Dentist - Coraopolis, Nicole Chenet, DDS, 995 Beaver Grade Road Suite A2 Coraopolis, PA 15108 (412) 329-7957

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200 Commerce Dr Suite 203, Moon Township, PA 15108
Central phone for all locations: 412-367-0367
Fax: 412-774-5848
Fax: 412-367-0366