Referral Form

Thank You for Your Referral!

We appreciate the trust you place in us when referring your patients. Please fill out the encrypted form below to start a patient referral, request a second opinion, or schedule a consultation with our practice. Our commitment is to treat your patients with the utmost care and compassion.


Request an Appointment

Our team is here to provide personalized, kind, expert gum care to help you regain total oral health. It is our pleasure to call you a patient. If you require periodontal treatment, contact us today to request a consultation.

Our Locations

Convenient Locations around the NE Florida area

Jacksonville

904-817-0306

563 University Boulevard North
Jacksonville, FL 32211

Hours:
Monday-Friday: 8:00am-5:00pm
Saturday-Sunday: Closed

Modern Periodontics

904-299-5201

9432 Baymeadows Road, Suite 200
Jacksonville, FL 32256

Hours:
Monday-Friday: 8:00am-5:00pm
Saturday-Sunday: Closed

Meet Our Doctors

Our Committed Professionals

Douglas Storch DMD, MS

Douglas Storch DMD, MS is a friendly and dedicated Periodontist based in Jacksonville.

Angeline Kuznia DMD, MS

Angeline Kuznia DMD, MS serves as a trusted Periodontist in Jacksonville, providing exceptional care to all.

Patient Referral

Referring Doctors

Now Accepting Patient Referrals

Modern Periodontics accepts patient referrals in Jacksonville and the NE Florida area. Our periodontists work closely with referring dentists to ensure optimal patient care experiences and treatment outcomes.

Associations and Memberships

We're proud to be affiliated with the following organizations:

American Academy of Implant Dentistry AAID Black
American Dental Association
American Board Of Oral Implantology Black
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