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 educated, skilled and will find a solution to your pain.

Call us today for an appointment 928 282-2077
Contact Us/Referral

Would you like to consult with Dr. Smith?

FILL OUT THIS FORM FOR A REFERRAL
OR
Download this referral form and Fax to 928-204-9190
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)
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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: 
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 FMX:
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 CT:
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We look forward to assisting you.

OFFICE LOCATION: 1785 State Route 89A, Suite 2D
South side of Hwy 89A, West of Northview, West of Bank of America
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