Patient Forms

PATIENT FORMS

Patient Registration
Medical History
HIPPA Authorization
Notice of Privacy Rights

Contact us for more information about Patient Intake Forms, Payments, or Appointments.

What we offer

Services

Wisdom Teeth

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Dental Implants

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Tooth Extraction

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Anesthesia

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Bone Grafting

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Impacted Teeth

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Sinus Lift

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All-on-4

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Location

Cannon Oral Surgery
2290 Ogletree Avenue, Suite 104
Chattanooga, TN 37421
Phone: 423-541-9000
Fax: 423-541-9009

Office Hours

Monday 8:00 am to 5:00 pm Tuesday 8:00 am to 5:00 pm Wednesday 8:00 am to 5:00 pm Thursday 8:00 am to 5:00 pm Friday 8:00 am to 2:00 pm Saturday Closed Sunday Closed

Get in touch

423-541-9000