HOME
ABOUT US
Locations
OUR DOCTORS
Purpose & Values
NEWS & EVENTS
COMMUNITY OUTREACH
CAREERS
SERVICES
GENERAL DENTISTRY
>
CLEANINGS
CROWNS & BRIDGES
DENTAL IMPLANTS
DENTURES
FILLINGS
INLAYS & ONLAYS
PERIODONTAL CARE
ROOT CANAL THERAPY
SEALANTS
COSMETIC DENTISTRY
>
TEETH WHITENING
INVISALIGN®
BONDING
VENEERS
GUM CONTOURING
Full Mouth Makeover
PEDIATRIC DENTISTRY
FRENECTOMIES
COMFORT DENTISTRY
SEDATION
WISDOM TEETH EXTRACTIONS
NEUROMUSCULAR
SNORE APPLIANCES
DENTAL EMERGENCIES
PATIENT REVIEWS
SMILE GALLERY
PATIENT RESOURCES
NEW PATIENTS
UNDERSTANDING DECAY
BLOG
GET YOUR BOOK
PAY YOUR BILL
PAYMENT OPTIONS
Interpretation Service
WARRANTY
Kids Corner
SLEEP APNEA PATIENT FORMS
SPECIAL OFFERS
CONTACT
HOME
ABOUT US
Locations
OUR DOCTORS
Purpose & Values
NEWS & EVENTS
COMMUNITY OUTREACH
CAREERS
SERVICES
GENERAL DENTISTRY
>
CLEANINGS
CROWNS & BRIDGES
DENTAL IMPLANTS
DENTURES
FILLINGS
INLAYS & ONLAYS
PERIODONTAL CARE
ROOT CANAL THERAPY
SEALANTS
COSMETIC DENTISTRY
>
TEETH WHITENING
INVISALIGN®
BONDING
VENEERS
GUM CONTOURING
Full Mouth Makeover
PEDIATRIC DENTISTRY
FRENECTOMIES
COMFORT DENTISTRY
SEDATION
WISDOM TEETH EXTRACTIONS
NEUROMUSCULAR
SNORE APPLIANCES
DENTAL EMERGENCIES
PATIENT REVIEWS
SMILE GALLERY
PATIENT RESOURCES
NEW PATIENTS
UNDERSTANDING DECAY
BLOG
GET YOUR BOOK
PAY YOUR BILL
PAYMENT OPTIONS
Interpretation Service
WARRANTY
Kids Corner
SLEEP APNEA PATIENT FORMS
SPECIAL OFFERS
CONTACT
LOVE YOUR SMILE!
Take our smile survey for a chance to win a massaging eye mask! Through March 28, 2025.
*
Indicates required field
Name
*
First
Last
Have you been to our office before?
*
Yes
No
Email
*
Phone Number
*
If you could change anything about your smile, what would it be? (Choose one or more.)
*
Whitening teeth that are yellow, stained, or discolored
Close gaps or spaces between my teeth
Straighten teeth that are crooked
Fix broken or chipped teeth
Close gaps from missing teeth
Fix an underbite or overbite
Have less of my gums show when I smile
Fix dark areas around old dental work
Make my teeth look bigger or smaller
Have a better looking denture/bridge/crown
Nothing. I love my smile!
If you don't love your smile, how does it affect you?
*
I rarely smile
I smile less than I would if I was confident with my smile
I hide my teeth for pictures; I hate seeing my teeth in pictures
My confidence is lower because of the appearance of my teeth
It has no impact on my confidence or how much I smile
Submit