Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Center for Oral Maxillofacial Surgery and Dental Implants before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Center for Oral Maxillofacial Surgery and Dental Implants fax number

(608) 240-0873

Oral Maxillofacial Surgery

Used for: Referral submissions from other providers; patient referrals

Fax destination details

Department
Oral Maxillofacial Surgery
Purpose
Referral submissions from other providers; patient referrals
Form
Referral form — Referral Form (Center for Oral Maxillofacial Surgery and Dental Implants)
Address
East Office: 5302 Buttonwood Dr, Madison, WI 53718; West Office: 7007 Old Sauk Rd, Madison, WI 53717

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Fill out patient and referral information; indicate procedures to be performed and referred-to location. Submit via fax to East Office (608-240-0873) or West Office (608-833-1737) as indicated on the form.

Official form instructions are published as a downloadable file on the organization's website.

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