Patient Registration Form

FORM

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Get to know us.

At Rolla Oral Surgery, we know how to help you. Our board-certified surgeons and expert staff can provide the care you need to relieve the discomfort you feel.

Dr. Donald Hofheins, DDS

Doctor of Dental Surgery from the University of Missouri School of Dentistry

Dr. Zachary Daniels, DMD

Doctorate of Medicine in Dentistry from Tufts University School of Dental Medicine

Our Commitment

We are committed to providing the highest quality care in a comfortable and compassionate environment.

Our location

1016 South Bishop Ave Rolla, MO 65401
(573) 341-3383

What are others saying about us?

"My daughter, 9 years old, needed a tongue tie cut and a tooth pulled. She was very scared about this procedure. The staff was very loving, caring, and careful with her. I felt really well taking care of. They watch out alot for my daughter and even for me. The doctor called me on the same day at 7 pm to check in with my daughter and me. I am very impressed by the staff and would go back there if another procedure needs to be done. If there would be more stars available then I would give more."

"Dr. Donald Hofheins & Dr. Daniels were both absolutely amazing in patient concern & care. Not only is the office thorough & professional during the procedure, but extends the patient care in the evening & off hours. The Dr's offer personal care that is honestly hard to find now days. Thanks for taking such good care of my son!"