William P. Smith, Jr., D.D.S. treats snoring, sleep apnea, pain from TMJ, headaches, migraines, earaches, neck pain and back pain using state of the art techniques. Dr. Smith is highly skilled and will find a solution to your pain.

Call us today for an appointment! (928) 282-2077  

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Would you like to consult with Dr. Smith?

FILL OUT THIS FORM FOR A REFERRAL
OR
Download this referral form and Fax to 928-282-9260 
or email to DDS@SleepBetterDoc.com or call 928-282-2077. 

Contact Information

If you have a question or would like to set up an appointment, please fill out this form and we will contact you soon. The red asterisk are required information. 
Referred by:
Date:
First Name:
Last Name: *
Address Street 1:
City: *
Zip Code: * (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:: *
Obstructive Sleep Apnea/Snoring:  Is this an issue?
Temporomandibular Disorder::  Is this an issue?
Sleep Study Availalbe?:  Have you done a sleep study?
 Symptoms: DizzinessEar CongestionEar PainTinnitusEye PainHeadachesMigrainesBack PainNeck PainShoulder Pain
Are X-Rays Available  –  Pano:
Date:
BW: 
Date::
 FMX:
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MRI: 
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 CT:
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Comments, Questions, or Referral:


We look forward to assisting you.

OFFICE LOCATION: 1785 State Route 89A, Suite 3G
South side of Hwy 89A, West of Northview, West of Bank of America
Stairway or Elevator (middle of building) to 3rd Floor  

Email: DDS@SleepBetterDoc.com
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SleepBetterDoc.com
Website of William P. Smith, JR., D.D.S.
Smith Dental LLC
1785 West State Route 89A, Suite 3G
Sedona, Arizona 86336
928-282-2077


William P. Smith, Jr., D.D.S.
Treating sleep disorders and TMD
for over 25 years.

Diplomate Academy
of Clinical Sleep Disorders Disciplines
Info


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