VIRTUAL SMILE ASSESMENT Find out if you are a candidate, treatment costs, and more with our free, no-hassle, smile consult below! Quiz Form Get started with the Virtual Consult Quiz below: 1. My primary problem is… * I have Missing or Broken Teeth I’m Embarrassed by my Smile I Hate or Am Afraid of the Dentist I’m Struggling with Dentures 2. I am most frustrated by…. * One or Two Missing/Broken Teeth Most of my teeth are missing or broken Struggling with traditional dentures 2. I am most frustrated by…. * Crooked, Wide-Spaced, or Crowded Teeth Missing teeth that show in my smile My dark, chipped, or mis-matched teeth 2. I am most frustrated by…. * ‘Being in the chair’ to get my work done Feeling like ‘my mouth is a mess’ I’ve been putting off getting my work done forever 2. I am most frustrated by…. * Not being able to wear my dentures Skipping the foods I love The way my teeth look or feel All of the above 3. How Soon would you like to get started if we could create a treatment plan that fit your goals and budget? * I was ready yesterday! In the next 30 days-60 days Hopefully sometime this year I’m just starting my research and am in no hurry yet. 4. How prepared are you to invest in a great result? * I’m financially prepared I’ll be ready within the next 30-60 days I hope to save money over the next few months I’m not ready to invest in dentistry right now but I want to learn more 5. The MOST IMPORTANT factor in selecting my dentist is: * The lowest cost I can find Having more Choices than a one-size-fits-all treatment plan Providing Sedation options for a completely comfortable experience Being able to offer the most beautiful and natural smile Obtaining the highest level of care while still offering affordable payment options. 6. Is there any specific question or concern you would like answered either before or during your consultation? Enter your name, email and phone below so that we can send you your results. First Name * Last Name * Email * Phone * Address (optional) If you’d like to receive a certificate worth up to $500, please enter your mailing address! Street Address Address Line 2 City State Zip Code Before we send your results, would you like to setup your complimentary consult? I would like a call from the new patient coordinator within 1 business day I would like to schedule myself online now! I am not yet ready for a consult or appointment-I'd just like information! Submit If you are human, leave this field blank.