Online Referral Form

for referring dentists

You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.

Online Referral Form
Keyboard with blue button "submit"

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Baton Rouge Perio

10723 N. Oak Hills Parkway, Building B
Baton Rouge, LA 70810

Tel: 225-396-4587
Fax: 225-769-9939

Baton Rouge Periodontists, Dr. Kenneth Markle and Dr. Jenny Herman, provide a variety of surgical and non-surgical services for the treatment of periodontal issues. We pride ourselves on the fact that we are very conservative in our treatment recommendations and limit surgery to the areas where it is absolutely necessary.

Proudly serving Baton Rouge Louisiana and the cities of Gonzales LA Prairieville LA • Denham Springs LA Central LA • Hammond LA Zachary LA • St. Francisville LA • Baker LA • LaPlace LA

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