Doctor Referral Form

Thank you for trusting us with your patient’s endodontic care. Our goal at Lehigh Valley Endodontics-Allentown is to provide a comfortable and modern environment to serve your patient’s needs. We offer state of the art technologies, including the surgical operating microscope, digital radiography, and Cone Beam Computed Tomograhy (CBCT). Some of the treatments provided in our office include:

  • Non-Surgical Root Canal Treatment
  • Non-Surgical Root Canal Retreatment
  • Endodontic Microsurgery (Apicoectomy)
  • CBCT 3-D Imaging Analysis
  • Treatment of Dental Trauma and Resorption
  • Pulpal Regeneration

We believe communication is the key to building relationships as well as achieving the best results for our mutual patients. We welcome and feedback from you and your patients regarding ways we can better serve. If you have any questions or concerns, please reach us at 610-821-1130 or email us:

If you are here to refer a patient to our practice, you can either download our referral form or provide us the information on our online referral form.

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We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.