Professional Referral

  • A copy of the referral will be emailed for your records
    Does the patient have any dental work that would prevent the start of orthodontic treatment?
  • By submitting this form, you consent to receive SMS and/or email messaging from Advanced Orthodontics using the contact information you provide. Msg & Data rates may apply. Reply STOP at any time to unsubscribe. Your information will not be sold to third parties.

Thank you!

Thank you for entrusting the Advanced Orthodontics Team with the orthodontic care of your patients. Simply fill out the form above and a member of our team will contact them shortly to set up an appointment.

Office Information


  • Monday - Thursday 7:30 am - 4:30 pm (closed 12 pm - 1 pm for lunch)
  • Friday 9 am - 1 pm (phones only)

Mesa Office
1810 S Crismon Rd STE 183, Mesa, AZ 85209.

Located just south of Highway 60, in the Odyssey Medical and Professional Center. We are on the northwest corner of Baseline and Crismon, next to Creme de la Creme daycare.

Chandler Office
4165 S Gilbert Rd #1, Chandler, AZ 85249.

Serving the Gilbert and Chandler communities in The Plant II Complex. We are located on the East side of Gilbert Road just South of Ocotillo, next to Barre3. Click to learn more about our new Chandler orthodontist office location.

Queen Creek Office
20008 S Ellsworth Rd #109 Queen Creek, AZ 85142. Serving the Queen Creek community, our office is located on Ellsworth, just North of Queen Creek Rd, in the Costco Shopping Center.