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Schedule Your Visit

  • Home
  • New patient forms
  • Provider referral
Schedule Your Visit

Refer to us

For referring providers only:

Please download, complete, and send to my911dentist@gmail.com. Attach treatment plan and x-rays if applicable.

Download form

SMS Consent:
By providing your phone number, you agree to receive text messages from Maine Emergency Dentist about appointments, service updates, and limited promotions. Message and data rates may apply. Message frequency varies. Reply STOP to opt out or HELP for help. Your information is kept confidential and will not be sold or shared. Consent is not a condition of treatment or purchase. See our full SMS Privacy Policy for details. 


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