Pediatric Referrals

Pediatric Dental Referrals

Contact our pediatric dental offices today to learn more about our dentists or to request an appointment.

Mitten Kids Dentistry – Grand Rapids

1179 East Paris Ave SE #130
Grand Rapids, MI 49546

Fax: 616.942.0170

616.942.9840

Mon, Tue, Thu: 8 AM – 5 PM
Wed: 8 AM – 3 PM
Fri: 8 AM – 2 PM
Lunch Daily: 1 PM – 2 PM

Mitten Kids Dentistry – Caledonia

6477 Cherry Meadow DR SE #4
Caledonia, MI 49316

Fax: 616.942.0170

616.942.9840


Tue, Thu:
8 AM – 5 PM
Wed: 8 AM – 3 PM
Lunch Daily: 1 PM – 2 PM

Enter Your Pediatric Referral Below

Thank you for entrusting us with the care of your patient! So that we have a thorough understanding of the patient’s treatment needs, please include all pertinent information on the form below. If you have recent x-rays, please also attach them to the referral. This will be helpful in our chart review and will possibly eliminate the need for our office to take more x-rays, which could result in an added cost to the patient. We will contact the patient’s guardian within 48 business hours to schedule an appointment.