New Dental Patient Forms | Smart Smile Dentistry, Gainesville, FL

Insurance

We gladly accept all PPO dental insurance plans.

Financing Options

CareCredit® and LendingClub® are third-party financing options that help pay for out-of-pocket healthcare expenses for you and your family. Using CareCredit or LendingClub to pay for both necessary and cosmetic dental procedures can make dental financing a whole lot easier.

CareCredit
LendingClub

Payment Options

We accept Visa, Master Card, American Express and Discover.

Preparation for your initial dental appointment.

Thank you for choosing Smart Smile Dentistry in Gainesville, Florida. For your convenience we have provided the New Patient paperwork which is needed for your appointment with Smart Smile Dentistry. Please download the forms, fill them out and bring them with you to your consultation appointment.

Day of your appointment.

Please arrive 15 minutes before your scheduled office appointment. This will allow us to finish any paperwork and stay on schedule with your appointment. If you printed our forms from the link below, please bring them with you to your initial visit.  Thank you.

Note: You will need Adobe Reader to view and print these forms. You can download it for free from Adobe. 

#smartsmiledentistry

🌟Staff Introduction🌟
Meet Kelly, our amazing Office Manager & Treatment Plan Coordinator! 
Kelly has been with Dr.Samant for over 8 years! Kelly’s favorite part of Dentistry is the feedback from the patients. Knowing that she can make a difference in a patients visit goes a long way, she says. 
In her free time, Kelly enjoys spending time with her Husband and their two daughters. “We love to explore the world and do activities for them to keep their little minds stimulated.” 
In 3 words she describes herself as - passionate, organized, and energetic! 
Come see Kelly and Dr. Samant for a consultation for any of your dental needs! 😁🦷

🌟Staff Introduction🌟
Meet Kelly, our amazing Office Manager & Treatment Plan Coordinator!
Kelly has been with Dr.Samant for over 8 years! Kelly’s favorite part of Dentistry is the feedback from the patients. Knowing that she can make a difference in a patients visit goes a long way, she says.
In her free time, Kelly enjoys spending time with her Husband and their two daughters. “We love to explore the world and do activities for them to keep their little minds stimulated.”
In 3 words she describes herself as – passionate, organized, and energetic!
Come see Kelly and Dr. Samant for a consultation for any of your dental needs! 😁🦷

5 days ago
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1/10
Happy Thanksgiving from our family to yours! 🍁🦃 We hope you have a filling and safe Holiday! ☺️ 

Our office will be closed early today at 1pm and 11/25 all day. We will be back opened on Monday November 29th for normal hours.

Happy Thanksgiving from our family to yours! 🍁🦃 We hope you have a filling and safe Holiday! ☺️

Our office will be closed early today at 1pm and 11/25 all day. We will be back opened on Monday November 29th for normal hours.

1 week ago
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2/10
🌟Staff Highlight🌟 
Meet Preslee, one of our Dental Assistants! 
Preslee’s favorite part about Dentistry is seeing the Patients fall in love with their smile.☺️ With her free time, Preslee enjoys spending time with her 2 kids and being anywhere near the water! 
In 3 words.. (or more🤪) she describes herself as - loud (like really loud), outgoing, life of the party. 
Preslee keeps our team rolling and is happy to help you at your next visit! 💛#dentalassistant#smartsmiledentistry#staffhighlights#smile

🌟Staff Highlight🌟
Meet Preslee, one of our Dental Assistants!
Preslee’s favorite part about Dentistry is seeing the Patients fall in love with their smile.☺️ With her free time, Preslee enjoys spending time with her 2 kids and being anywhere near the water!
In 3 words.. (or more🤪) she describes herself as – loud (like really loud), outgoing, life of the party.
Preslee keeps our team rolling and is happy to help you at your next visit! 💛#dentalassistant#smartsmiledentistry#staffhighlights#smile

2 weeks ago
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3/10
🌟STAFF HIGHLIGHT🌟 
Meet Leanne, our Administrative Assistant and Insurance Coordinator! 
Leanne’s favorite part about dentistry is observing how happy patients are with their final results. She says, “I remember the unexplainable feeling I had when I first saw myself in the mirror after having my braces removed - pure bliss.” ☺️ 
In her free time she enjoys hanging out with her kids. “We never sit still when they’re around.” Leanne also enjoys spending time around her son, Brady’s grave - “it’s very calming.”
In 3 words, Leanne describes herself as: Happy, Grumpy, Sleepy. (She related to the 7 dwarfs) 😋 

Leanne is a huge asset to our team and is ready to help you with any insurance questions you may have! 🦷❤️
#insurancecoordinator#smartsmiledentistry#staffhighlight

🌟STAFF HIGHLIGHT🌟
Meet Leanne, our Administrative Assistant and Insurance Coordinator!
Leanne’s favorite part about dentistry is observing how happy patients are with their final results. She says, “I remember the unexplainable feeling I had when I first saw myself in the mirror after having my braces removed – pure bliss.” ☺️
In her free time she enjoys hanging out with her kids. “We never sit still when they’re around.” Leanne also enjoys spending time around her son, Brady’s grave – “it’s very calming.”
In 3 words, Leanne describes herself as: Happy, Grumpy, Sleepy. (She related to the 7 dwarfs) 😋

Leanne is a huge asset to our team and is ready to help you with any insurance questions you may have! 🦷❤️
#insurancecoordinator#smartsmiledentistry#staffhighlight

3 weeks ago
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4/10
Such sweet goodies from our VIP patient! 😍⭐️🦷

Such sweet goodies from our VIP patient! 😍⭐️🦷

4 weeks ago
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5/10
Maxillary hybrid denture by Dr.Paivi Samant #prosthodontist #hybriddenture

Maxillary hybrid denture by Dr.Paivi Samant #prosthodontist #hybriddenture

1 month ago
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6/10
Before and after photo by Dr. Paivi Samant of anterior crown #prosthodontist #anteriorcrown

Before and after photo by Dr. Paivi Samant of anterior crown #prosthodontist #anteriorcrown

1 month ago
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7/10
Before and after photo by Dr.Paivi Samant #prosthodontist

Before and after photo by Dr.Paivi Samant #prosthodontist

1 month ago
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8/10
Before and After photo by Dr.Paivi Samant

Before and After photo by Dr.Paivi Samant

1 month ago
View on Instagram |
9/10