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Nottingham
0115 959 6999
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Treatments
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Straightening (Orthondontics)
Invisalign
Cosmetic Dentistry
Veneers
Crowns
Composite Bonding
Full Smile Makeover
Whitening
Bridge
Dentures
Composite Fillings
Teeth Whitening
Stain Removal (Air Flow)
Whitening
Tooth Replacement
Dental Implants
Bridge
Dentures
Root Canal Treatment
All on 4 Dental Implants
General
X-Rays
Root Canal Treatment
Scale and Polish
White Fillings
Stain Removal (Air Flow)
Extractions
5D Digital Scanning (iTero Intraoral Scanner)
General Anaesthetic
Common Problems
Chipped / Fractured Teeth
Missing Teeth
Gummy Smile
Crooked Teeth
Stained Teeth
Cracked Tooth
Gaps / Spaces
Unsightly Crowns
Teeth Grinding
Root Canal
Underbite
Wisdom Teeth
Holes
Overbite
Anaesthetics
General Anaesthetic
Patient Journey
About
About Zenith
Inside the Clinic – Notttingham
Our Team
Payment Options
Journal
Offers
Contact
Cosmetics
Refer a Patient
About
Treatments
Common Problems
Anaesthetics
Patient Journey
Journal
Offers
Contact
Cosmetics
Refer a Patient
About
About Zenith
Inside the Clinic – Notttingham
Our Team
Payment Options
Treatments
View All
Straightening (Orthodontics)
Cosmetic Dentistry
Teeth Whitening
Tooth Replacement
General
Common Problems
Chipped / Fractured Teeth
Missing Teeth
Gummy Smile
Crooked Teeth
Stained Teeth
Cracked Tooth
Gaps / Spaces
Unsightly Crowns
Teeth Grinding
Root Canal
Underbite
Wisdom Teeth
Holes
Overbite
Anaesthetics
General Anaesthetic
Straightening
Invisalign
Cosmetic Dentistry
Veneers
Crowns
Composite Bonding
Full Smile Makeover
Whitening
Bridge
Dentures
Composite Fillings
Teeth Whitening
Stain Removal (Air Flow)
Whitening
Tooth Replacement
Dental Implants
Bridge
Dentures
Root Canal Treatment
All on 4 Dental Implants
General
X-Rays
Root Canal Treatment
Scale and Polish
White Fillings
Stain Removal (Air Flow)
Extractions
5D Digital Scanning (iTero Intraoral Scanner)
General Anaesthetic
Refer a patient
Refer your patient for dental treatment.
Dentist contact details
Name
(Required)
Email
(Required)
Address
Postcode
Telephone
(Required)
Patient Contact Details
Patient's Name
Date of birth
(Required)
MM slash DD slash YYYY
Patient's Email
Patient's Address
Patient's Postcode
Patient's Telephone number
(Required)
Additional Information
Type of referral treatment required
Please choose one or more of the referral treatment options below
Extractions and oral surgery
General Anaesthesia Dentistry
Sedation Dentistry
Cosmetic Dentistry
Dental Implants
Endodontics
Orthodontics
Facial Aesthetics
Further Case Notes
Please add any relevant information and previous dental history about the tooth/teeth that need treatment. Please note that a peri apical x-ray will be required when referring for extractions and endodontics.
Image Upload: Please attach any relevant x-ray or image.
Accepted file types: jpg, gif, jpeg, png, Max. file size: 128 MB.
*Please note that the contact form should only be used for transmitting information of a non-sensitive nature. If you wish to discuss medical details, please contact the practice directly.
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