PortmanDentex Referrals

Back to homepage

Mr Gary Burgess

GDC: 65183

Biography

Thirty five years of experience in sedation, oral surgery, smile make overs, and restorative dentistry

Treatments Offered

Restorative Dentistry (Specialist)
Oral Surgery
Sedation
Smile Makeover

Practice

North Street Dental Practice

19 North StreetLewes BN7 2PF

Location

A map is loading

Referral Form

Patient Details

Patient first name

Patient last name

Address line 1

Address line 2

Town or city

Postcode

Country

Date of birth

yyyy

Phone number

Patient Consent Received

Patient consent is required to proceed.

Referring Practitioner

Practitioner first name

Practitioner last name

Practitioner email

Practitioner phone

Referring Practice

Practice address line 1

Practice address line 2

Practice town or city

Practice postcode

Practice country

Referral Details

Primary reason for referral

Preferred Treatment for Referral

Observations and Dental History

Medical History

Enable uploading of files?

Drag & Drop files here or click to upload

By submitting the above information, you are confirming that you have read and agree to the Privacy Notice and that you consent to us contacting you by phone or e-mail regarding your enquiry or appointment.(Required)