Smile Preview – D&S Dental |

Imagine The Possibilities

You scanned the QR code and are now on your way to receive a Smile Preview

What can a Smile Preview do for you?

get excited

Imagine the possibilities. Improve your image, self-esteem, relationships, career, confidence, etc.

get support from your Friends & Family

Show everyone around you. They'll love the new you.

3 Simple Steps To Get Your Smile Preview

We require a selfie like this

• Face forward. Look straight at the camera

• Make sure your face is well lit and in focus

• We need to see your teeth

Not like this

We require a selfie like this

• Face forward. Look straight at the camera

• Make sure your face is well lit and in focus

• We need to see your teeth

Not like this

Get Your Smile Preview

D&S Dental & Your Dentist

"*" indicates required fields

Dentist Information

Your Dentist's First Name*

Dentist First Name

Your Dentist's Last Name*

Dentist Last Name

Dental Practice Name*

Dental Practice Name

Dental Practice City*

Dental Practice City

Your Information

Your Name*

First Name Last Name

Your Instagram Username

Your Email*

Your Phone Number*

Your Location*

City Name State / Province / Region ZIP / Postal Code Country

How did you hear about us?*

My Dentist

Saw the QR code in the reception room

Other

Tell us about your new smile goals*

Upload a Full Face Selfie for your Smile Simulation*

Drop files here or

Max. file size: 256 MB, Max. files: 3.

*I acknowledge that some of the services provided by Trusted Frontier Dentists are elective and may not be covered by insurance.

*Disclaimer* Your privacy is important to us. We will not share your personal information to anyone outside of our network (your image may be used to show the difference a smile can make in a persons life). This is for simulation purposes only. Actual results will be determined by the treatment plan provided by a Trusted Frontier Top Cosmetic Dentist. By clicking the “Submit” button, I verify that this is my email address and consent to receive emails regarding my personalized Frontier Smile Simulation from a trusted Frontier Top Cosmetic Dentist. I understand that consent is not a condition of purchase or services.