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Refer A Friend

A successful practice doesn't just happen. It is the result of a strong commitment to excellence in our treatment and in our relationships with patients and doctors. We'd like to take a moment to thank you for showing your confidence in our practice by recommending us to your friends, family, and colleagues. We're gratified to find how many new patients regularly call on us based on your words of advice.

Choose a form:

Doctor Referral Form

If you are a doctor who is referring a patient to us, please fill out and submit the following form.

Your Information:
  • Your Name:

  • Your Practice Name:

  • Email Address

Referral Information:
  • Name of Person You're Referring:

  • Were Radiographs Sent?

  • Additional Information:

  • For Security Purposes, Please Enter the Code Below:

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Spartanburg: 864-585-8709

319 North Pine Street, Suite 5, Spartanburg SC 29302

Roebuck: 864-641-6245

4385 South Church Street Ext., Roebuck SC 29376

Piedmont Orthodontic Associates provides quality orthodontics for children, teens, and adults in Spartanburg, SC and the surrounding areas. Dr. Ernest Gardner, Jr. specializes in orthodontics, offering Invisalign as well as traditional braces. Contact Piedmont Orthodontic Associates to schedule your complimentary orthodontic consultation.

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