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Am I A Candidate?
(30 sec survey)
What is your main reason for achieving a better smile?
Upcoming Event (ex: wedding, graduation, ect.)
Lack of Confidence
Tell us a bit more about your teeth...
Generally Straight Teeth
Mix Of Baby And Adult Teeth
How old are you?
Teen 14 - 17
Adult 18 - 25
Adult 25 - 35
How soon are you looking to get started?
A few weeks
A few months
Have you ever worn clear aligners or braces before?
Yes; Clear aligners
Do you have a permanent retainer?
Do you have any pre-existing dental work?
I have some bridge work
I am missing some teeth
Do you have dental insurance? (save up to $1300 on aligners)
What kind of insurance do you have? (you may choose more than one)
Flexible Spending Account (FSA)
Health Reimbursement Account (HRA)
Health Savings Account (HSA)
No Insurance (No Problem)
Would you be interested in an affordable payment plan?
How did you hear about us?
Referral (from friends & family)
Referral (from a dentist)
Please enter your email, so we can follow up with you.
I am a...
I prefer not to say
Here are your options to get started:
FREE Virtual Consultation
Book a FREE In-Office Scan
1295 West Spring Street #210 Smyrna, GA 30080 | You will receive a follow-up email with instructions on how to prepare for your appointment. (Our office is following ADA, CDC, and OSHA health and safety guidelines for COVID-19.
Do you want to share us anything else?
1295 W. Spring St #220
Smyrna, GA 30080
1218 West Paces Ferry Road, NW, Suite 100
Atlanta, GA 30327
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