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CONTACT US

  • Theodore J. Grellner, DDS, PA
    Palm Lake Office Building
    15310 Amberly Dr Ste 195
    Tampa, FL 33647
  • 813-972-3478
  • info@grellnerdds.com

Contact us for your dental consultation

We are happy to use our expertise to restore the functionality and beauty of your smile. Whether you have a tooth that needs to be extracted, or dental implants that need to be placed, we are here to help. Please contact us today to schedule a consultation.

Online Patient Form Submission

You can submit the form online or download it by selecting click here option and submit the same at the time of your dental visit.

Patient Registration Form

Patient Registration Form

Downloadable Forms

These Patient Information and Health History forms are provided for your convenience to print out and complete at home in advance. Completing these forms at home can not only save you a lot of time but it helps us to stay on time (for you and others)

Patient Registration Form

PATIENT REGISTRATION FORM

Reach Out Today

Considered an authority in wisdom tooth extraction, Dr. Grellner can provide both accurate treatment and sound advice on affording the procedure. If you or your child need wisdom teeth removed, contact our practice today to set up an appointment and discuss your financing options.

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