Kenneth D. Parrish DMD PhD
Certified as a Diplomate of the American Board of Periodontology
Matthew Vierra DDS MS
Certified as a Diplomate of the American Board of Periodontology
Three Locations
118 Sears Avenue
Louisville, KY 40207
502-899-3000
950 N. Mulberry St. Ste. 250
Elizabethtown, KY 42701
270-766-1300
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Certified Diplomate of the American Board of Periodontology
New Albany Location:
4000 Charlestown Crossing Way
New Albany, IN 47150
Directions:
Take I-65 to I-265 to Charlestown Road in New Albany.
Take Exit 4 from I-265. Follow Charlestown Road to
Charlestown Crossing Way. We are located on the corner
of Charlestown Crossing Way and Northside Drive, behind
Tumbleweed Restaurant, just off Charlestown Road.
Look for the sign on the front of our building that reads
“United Smile Centres”
Louisville Location:
Located off Shelbyville Road;
118 Sears Avenue
Louisville, KY 40207
Directions:
From I-264
Take exit 20B for US 60 West toward St. Matthews
Drive 1.5 miles turn Right on Sears Avenue
Office is on the left
www.UnitedSmileCentres.com
www.UnitedSmileCentres.com
4000 Charlestown Crossing Way
New Albany, IN 47150
812-725-9831
Elizabethtown Location:
950 N. Mulberry St. Ste. 250
Elizabethtown, KY 42701
Directions:
Take I-65 to US-62/KY-61 exit 94 toward Elizabethtown
keep right on ramp/merge onto US-62 W/KY 61 S
3/4 mile on right is Mulberry Square
Do not use GPS for Elizabethtown directions
I am introducing ________________________ (patients name) for an evaluation.
Thank you, Dr. _________________________________________________
Recommendations: ______________________________________________
_______________________________________________________________
_______________________________________________________________
q Dental Implant Evaluation with Cone Beam CT Scan Full arch maxilla/mandible
q Locator overdenture q Bar overdenture q Fixed restoration
Single/multiple implants sites: _____________________________________
q Screw retained q Cemented
Implant returned with:
q Healing abutment(s) q Final restorative abutment(s)
Special instructions: ______________________________________________
_______________________________________________________________
q Periodontal or Laser Gum Treatment Consultation
q Periodontitis #’s_________________
q Crown Lengthening #____________
q Soft tissue augmentation #’s____________
q Esthetic gingival recontouring #’s____________
q Other/Special Instructions: _______________________________________
________________________________________________________________
________________________________________________________________
You may fax this form to one of our team members @ 502-899-9919 Louisville or 270-763-1390 E-town.
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