(423) 968-4801 support@bristoldental.com

Bristol Dental Esthetics

Offering state of the art dental lab services in Bristol, TN.

Lab Order Form

Practice Information

Practice Billing Address

Patient Information

MM slash DD slash YYYY

Shade Information

Drop files here or
Accepted file types: jpg, png, pdf, Max. file size: 50 MB, Max. files: 10.
    If you have any shade photos, please upload here.

    Case Description

    Digital Services
    Other
    If Insufficient Room
    Fixed Restoration
    Additional Info

    Crown Design

    Please download the crown design form (PDF), fill it out and then upload a scan of it here.

    Accepted file types: pdf, jpg, png, gif, Max. file size: 50 MB.

    STL File Upload

    Please attach your STL file here.
    Drop files here or
    Accepted file types: stl, ply, obj, Max. file size: 50 MB.

      Email Us

      support@bristoldental.com

      OFfice

      401 Martin Luther King Jr Blvd,
      Bristol, TN 37620

      (423) 968-4422

      Monday – Thursday

      8am – 5pm

      Friday

      8am – 12pm