Kool Smiles

For Parents

Kids and parents choose Kool Smiles because the fun and friendly environment has been created specifically for them—from a waiting area that keeps kids busy, to a team environment that lets the entire family participate in great dental care. We accept most types of insurance, including Medicaid and state health insurance plans (SCHIP), and we proudly accept all forms of military insurance, such as United Concordia's Tricare. If you have any questions about what your insurance covers, just give us a call.

Health Professional Referral Form

Are you a local health professional seeking to create a referral relationship with Kool Smiles? If you're interested in improving the oral health crisis among children and are dedicated to providing high-quality care yourself, we want to hear from you.

Name* First Last
Title
Company
Organization Address
Street Address

Address Line 2

City

State

Zip Code
Cell Phone - (###) - ### ####
Work Phone - (###) - ### ####
Email Address*
Message*

Type your message here
I have questions or comments about: Creating a Referral Partnership
Getting Oral Health Supplies
Getting Oral Health Educational Materials
Presentations
* Required Fields

My Kool Smiles Locations

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Fill out the form and we’ll call you to confirm your appointment. If you're in pain, please call 866-GET-KOOL for an emergency appointment

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Requesting an appointment couldn't be any easier!

Fill out the form and we’ll call you to confirm your appointment. If you're in pain, please call 866-GET-KOOL for an emergency appointment

Health Professional Referral Form

My Kool Smiles Locations

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Requesting an appointment couldn't be any easier!

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Requesting an appointment couldn't be any easier!

Your information

Your location

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