• 1
  • 2
  • 3

Select One: I am a...

New Patient - I have not visited a Kool Smiles dentist before.
Current Patient - I have already visited a Kool Smiles dentist
Others: professionals, pharmacies, schools, media, etc.
  • 1
  • 2
  • 3

I need to…

Make an appointment
Ask a question about services and pricing
Ask if my insurance is accepted
Other

I need to…

Make an appointment
Talk to a dentist about a recent treatment
Ask a question about services and pricing
Request dental records
Request a school form
Request Insurance Information
Inquire about a prescription
Request a referral to a specialist
Send a compliment to the office
Send feedback or a problem to the office
Other

I am a...

Member of the local community
Pharmacist
Job seeker
Advertising representative or journalist
Health professional with referral questions
Person requesting removal from the mailing list
Other
  • 1
  • 2
  • 3

Ask a question about services and pricing

Other

Is my insurance accepted?

Make an appointment

Talk to a dentist about a recent treatment

Ask a question about services and pricing

Request dental records

Request a school form

Request Insurance Information

Please select one

What is my deductible for the treatment prescribed?

Request a referral to a specialist

Send a compliment to the office

Send feedback or report a problem to the office.

Other

Inquire about a prescription

Please select one

I am a pharmacist and need additonal information

Information about dental careers

Please select one

I am interested in Hygienist or office staff careers

Search jobs at Kool Smiles Jobs

I am a licensed dentist (DMD, DDS), a dental student or dental specialist

I am a member of the local community and have a question

I am an advertising representative or journalist

Other

Person Requesting Removal From The Mailing List

At Kool Smiles we respect your privacy and will do our best to update your contact preferences. If you´d like to be removed from any of our campaigns, please fill out the form below. Note that you may continue to receive reminder calls for upcoming scheduled appointments as a courtesy.

Health Professional With Referral Questions

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 quality care yourself, we want to hear from you.


I have questions or comments about:

Error

We are sorry. There was an error submitting your request. Please try again later.
Close

Processing your request

We are processing your request, Please hold.

×

Related Information

Send location
Back To Results
I understand that Message & Data rates may apply. Depending on my text plan, I may be charged a fee by my wireless carrier.