Online Smile Consultation

What is a personalized online smile consultation? Well, it’s an easy way for those interested in improving their smile to get a personalized evaluation from our cosmetic dentists in Lexington, KY.

Just follow the instructions below and tell as much as you can about what you are hoping to accomplish. We will personally review your submission and attached images, then, within 2 to 3 days, we will email you a personalized video with information related to achieving your smile goals.

Name

This field is for validation purposes and should be left unchanged.

Step 1

Take a couple selfies. Please take a front-facing photo of your entire face and a close up photo of your teeth and mouth. Make sure you are smiling to reveal as many teeth as possible.

Step 2

Upload Your Photos via the following “Upload Photo” Buttons.

Close up

Max. file size: 2 GB.

Upload a close up image

Selfie

Max. file size: 2 GB.

Upload selfie (optional)

Step 3

Fill out and complete the Smile Quiz form below to tell us about your smile and your goals, then just click "submit".

Smile Consultation Form

Are you missing any teeth?

How do you rate the appearance of your smile?

How healthy are your teeth and gums?

What are some areas of your smile you would like to improve?

Have you ever been told you grind your teeth?

Do you have a latex allergy?

What treatment or procedure are you considering?

Contact Information

Full Name(Required)

Email(Required)

Phone(Required)

Preferred method of contact:

Preferred appointment time:

How did you hear about us?

Call Our Office

(859) 543-9000

Visit Our Office

3292 Eagle View Lane Suite #110,
Lexington, KY 40509

Contact Our Office

Office Hours

Mon: 8:30am – 4:30pm
Tue: 8:30am – 4:30pm
Wed: 8:30am – 4:30pm
Thu: 8:30am – 4:30pm
Fri: Closed