Oral Surgery referral

Ayse-Nazli
Ayse Nazli Spencer
Specialist Oral Surgeon
BDS (Lond) MJDF RCS(Eng)
GCAP M.Oral Surg
GDC:104084

Ayse Spencer graduated with Honours from Guy’s, King’s and St. Thomas’ Dental Hospital in 2006. Between the years 2007 and 2009 she worked in the Maxillofacial and Oral Surgery Department as a Senior House Officer at the Royal Surrey County Hospital. During this time she gained her Membership of the Joint Dental Faculties at the Royal College of Surgeons, England (MJDF RCS Eng).

She worked as a Speciality Doctor at King’s College Hospital (London) between 2009 and 2010, after which time she commenced her training as a Specialist Registrar in Oral Surgery in 2010. She completed her Oral Surgery Training at Guy’s and St. Thomas’ and King’s College Hospital, gaining her Membership in Oral Surgery in July 2014.

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Referring a patient

You can make a referral in 3 ways:

1) Via Email:

– Click here to download our Referral Form

– Fill out all the required fields marked (*)

– Attach the Referral Form with any supporting xrays/images/charts and send to info@kdentalstudios.co.uk

2) Via Post:

– Click here to download our Referral Form

– Fill out all the required fields marked (*)

– Please send your Referral Form with any supporting xrays/images/charts to: 116 Great Portland Street, London, W1W 6PJ

3) Online Form: (compatible only with computer users)

– Please fill out the form below and click on send ensuring that you have filled out all

the required fields marked with (*)

Please tick the appropriate referral: *


Dr Cesar Muñoz-Villena
Practice Limited to Endodontics
DDS MSc (Endodontics)
GDC: 208309

Dr Dimitra Emmanouella Tsarouchi
Specialist in Periodontics
BDS (Lond)
GDC: 103982


Dr Deborah Bomfim
Consultant & Specialist in Restorative Dentistry, Clinical Lecturer in Restorative Dentistry
BDS, MSc (UCL), MJDF RCS (Eng), FDS (Rest Dent) RCS (Eng)
GDC:103979

Dr Sara Stephens
Specialist & Consultant Orthodontist
BDS, MJDF RCS (Eng), MClinDent Orth (Distinction), MOrth RCS (Eng), FDS (Orth) RCS (Eng)
GDC:103298


Dr Ayse Nazli Spencer
Specialist Oral Surgeon
BDS (Lond) MJDF RCS(Eng)
GCAP M.Oral Surg

GDC:104084

Dr Latoni Gilbert
Practice Limited to Oral Surgery
BDS (Hons), MFDS RCSEd, MJDF RCSEng GDC:104120


Dr Irene Kaimakamis
Principal Dentist, Special Interest in Fixed Prosthodontics, Honorary Speciality Dentist King’s College Dental Hospital
BDS, MJDF RCS (Eng),MSc (UCL)
GDC:104215

Ms Meranda Gomez-Adams
Dental Hygienist Therapist
DipDH DipDT RCS (Eng) BSc (Hons)
GDC: 258289

Patient Details: *

Title: Miss/Mrs/Mr/Dr/Other:

Surname:

Forename(s):

Date of Birth:

Address:

Postcode:

Tel/Mobile:

Email:

Reason for Referral: *

Please give as much detail as possible and include any treatment already carried out:

For Endodontic Referral Only:

Right
Left

8765432112345678


8765432112345678

Is the Patient in pain?
Final restoration to provided by Dr Munoz?
If yes, would you like:

Enclosures (Please tick):



(Please note that enclosing good quality radiographs will speed up the referral process)

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Relevant Medical History: *

Practice Details: *

Referring Practitioner:

Referring Practice:

Practice Address:

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