New Patients

Forms for New Patients



These forms are in .pdf format. Download and/or print these forms and fill them out before your first appointment to save time during your office check-in.



Enroll yourself or your entire family in The Smile Program and get yearly exams, x-rays and cleanings for one low price, PLUS you save 20% on all other dental work.



Use these directions to help you get to our office from around the Metro Louisville and Southern Indiana area. Our address and contact information are inside, too.

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Accepting New Patients

The Smile Center is always accepting new patients. We offer comprehensive dental care for your entire family. As a general dentistry practice, The Smile Center offers a full array of dental procedures and can provide you and your loved ones with a complete care solution. Whether you are looking for a new dentist, just moved to the Louisville area, of thinking about improving your oral health after a long absence, we are happy to welcome you into our practice.

Our patients needs and wants are important to us. At The Smile Center, we understand that some patients have fear of going to the dentist, embarrassment from years of neglect, or uncertainty about what can be accomplished. You won’t ever receive a lecture from The Smile Center, just care and understanding, along with information and answers about your situation, your options, and your well-being.

The Smile Program

In an effort to help our patients with no insurance, we have designed The Smile Program. It is designed to provide affordable dental coverage for you and your family so that you may continue with your long-term optimal oral health.

ENROLLMENT in The Smile Program entitles you to the following:

  • Comprehensive Exam (twice per plan year)
  • All X rays
  • Cleanings (twice per plan year)
  • Fluoride treatment for children (under the age of 18, twice per plan year)
  • Orthodontic consultation
  • NO claim forms
  • NO maximum
  • 20% Discount on all treatment and products

Plan Options

*membership is paid every 12 months




Sign Up

(Significant Other)



Sign Up

Child Age 2-13



Sign Up

Child Age 14-23



Sign Up

Payment Options

The Smile Center offers a number of ways to pay for your dental services. We accept many dental insurance plans, including those that are provided to the large employers in the Louisville area such as Ford, UPS and Humana. If you would like to be certain before you make an appointment, please call our office to speak with an insurance specialist who can answer questions about your specific insurance plan and it’s coverage. We can help you maximize the benefits of your insurance, and help you simplify payment and insurance obstacles.

The Smile Center accepts cash and most major credit cards, including Visa, Mastercard, American Express and Discover cards.

We also offer CareCredit, a healthcare financing credit card. Application is easy, and you can find out if you qualify quickly. Give our office a call and speak to a payment options specialist about all of the ways to manage your account with The Smile Center.

  • Cash
  • Most Major Insurance
  • Visa
  • Mastercard
  • American Express
  • Discover
  • CareCredit
  • Payment Plans