Referral Form

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 Submit 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.

For Referring Doctors

Referral Form

Northwest Oral and Maxillofacial Surgery serves the following communities: Harris and Montgomery counties and the surrounding Houston metropolitan area including The Woodlands, Spring,
Tomball, Magnolia, Conroe, Montgomery, Huntsville, Madisonville, Humble and Kingwood.

Northwest Oral and Maxillofacial Surgery offers oral surgery services including: Dental Implants, Bone Grafting, Wisdom Teeth, Impacted Canines, Facial Trauma, Jaw Surgery, TMJ, and Sleep Apnea.

Learn more about our oral surgeons:

Stephen C. Dwyer, DDS • M. James Clark, DDS • Charles M. Repa, DDS • Daniel W. Williams, Jr., DDS
Brian M. Unterman, DDS, MD • Zahid S. Lalani, DDS, PhD • Cecil R. Shrewsberry, DDS, MD.

Northwest Oral and Maxillofacial Surgery, P.C.

Louetta Office: 8687 Louetta Road, Suite 100, Spring, TX 77379 • Phone: 281-370-4034 • Fax: 281-374-8251

Technology Forest Office: 4185 Technology Forest Blvd. Suite 100, The Woodlands, TX 77381 • Phone: 281-367-2001 • Fax: 281-367-9974

Conroe Office: 2249 N. Loop 336 West. Suite A, Conroe, TX 77304 • Phone: 936-756-8188 • Fax: 936-441-1905

Sterling Ridge Office: 10333 Kuykendahl, Suite A, The Woodlands, TX 77382 • Phone: 281-364-9933 • Fax: 281-364-9917

Huntsville Office: 3200 Robinson Creek Pkwy. Suite A, Huntsville, TX 77340 • Phone: 936-439-9572 • Fax: 936-439-9729

Magnolia Office: 827 S. Magnolia Building B, Magnolia, TX 77355 • Phone: 281-789-4623 • Fax: 281-789-4336