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21660 W. Field Parkway, Suite 220
Deer Park, IL 60010

Patient Registration

PATIENT REGISTRATION Please complete the following Patient Registration Forms prior to your first visit to our surgical practice. All information you provide will be kept confidential and secure. Our patient's privacy and security are our top priority. Our Patient Privacy Policy is included with the patient registration forms.

Patient Registration

Oral Facial & Implant Specialists, P.C.
Deer Park Office

21660 W. Field Parkway, Suite 220
Deer Park, IL 60010
Tel: (847) 381-0106
Fax: (847) 381-0265

Deer Park Oral Surgeons, Dr. Martin J. Zidron and Dr. J. Travis Thompson, manage a wide variety of problems relating to the mouth, teeth and facial regions. For more information about the oral and maxillofacial surgery services we provide, or to schedule a consultation, call our office in Deer Park, IL at Deer Park Office Phone Number (847) 381-0106.