New Patients

We understand that choosing a dentist is an important decision.  After all, your smile is one of your greatest assets and says a lot about your overall health.  From the moment you walk in our door, you'll be welcomed by a caring team of professionals in a relaxed, stress-free environment where the whole family can feel at ease.

Our office is currently experiencing a large influx of new patients, and since we already have a large population of current patients, we need to collect some vital information to determine if we can meet your dental needs. If you could fill out the following form, we'd certainly appreciate it!

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New Patient Forms

Please print and fill out these forms so we can expedite your first visit.

Patient Privacy - We are required by applicable federal and state law to maintain the privacy of your health information.  We are also required to give you this Notice of Patient Privacy about our privacy practices, our legal duties, and your rights concerning your health information. 

What to Expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our our team page and familiarize yourself with the doctors. We look forward to your first visit.

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Cancellation Policy

We here at Smiles on Niles feel everyone's time is valuable.  We request all cancellations or schedule changes are given with at least 24 hours notice.  Last minutes cancellations or failures to show may result in a cancellation fee.  Multiple offenses may result in dismissal from the practice.

Insurance and Billing
We are happy to file for any insurance carrier you may use. Simply bring in your insurance information and we will submit your services for review. If you are not sure of the extent of your coverage, we can contact your insurance provider to research this information for you.

Payment Options
We accept checks, cash or credit cards (Visa, MasterCard and Discover).

Financing Options

If you are interested in deferring the cost of your care and paying monthly, we work with CareCredit, a premier health care financing company. CareCredit offers many options for payment including both low interest and interest-free plans. For more information or to apply online, visit