For healthcare professionals

At Joie Pediatric Dentistry, we value the strong relationships we build with referring providers. Whether you’re a pediatrician, general dentist, orthodontist, ENT, speech therapist, or any healthcare provider, we’re honored to be part of your extended care team – and committed to supporting your patients with the same level of compassion, communication, and clinical excellence you provide.

Referral form

Our office contact information

Email

info@joiepediatricdentistry.com

Phone/SMS

(201) 500-6314

Fax

(201) 523-4553

Address

125 E. Main St. Ramsey, NJ 07446

Referring Provider

Provider Name(Required)

e.g., Dr. Jane Smith

Practice(Required)

Your clinic/hospital name

Email(Required)

Where we should send updates

Phone(Required)

Direct line for quick questions

Patient & Family

Child's Full Name(Required)

First Last

Parent/Guardian Name(Required)

First Last

Parent/Guardian Contact(Required)

Referral Details

Reason(Required)

Tell us about your primary concern (caries, trauma, behavior, airway, ortho, other)

Priority(Required)

Routine

Urgent

X-Rays, Photos, Notes

Drop files here or

Max. file size: 64 MB, Max. files: 5.

Upload documents related to referral

Consent(Required)

I have consent to share this information

Is it ok to contact the family directly to schedule?

Yes

Why refer to Joie Pediatric Dentistry?

Board-certified pediatric specialist

Evidence-based, minimally invasive techniques

Strong focus on communication with providers

Personalized care in a warm, welcoming setting

Trusted by families across Ramsey & Bergen County

Questions? Let’s connect

We’d love to speak with you, learn about your practice, or answer any questions about our referral process

EMAIL OUR TEAM