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Great Smiles Dental

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Cosmetic Dentistry
Shock Bright Teeth Whitening
Dental Bonding
Dental Bridges
Dental Crowns
Dental Implants
Porcelain Dental Veneers
Invisalign
General Dentistry
Composite Fillings
Dental Sealants
Dentures
Pediatric Dentist
Periodontal Scaling
Root Canal
Teeth Cleaning
Tooth Extraction

Download any of the forms below, and please have them filled out when you come to your dental appointment.

Welcome Sheet
Patient Registration
HIPAA Privacy Form
HIPAA Acknowledgement Form
Smile Analysis
ViziLite Waiver
Invisalign Consent Form
Spanish Welcome Form
Spanish Medical History

Office Hours

Monday – Closed
Tuesday – 9:00am – 5:00pm
Wednesday – 9:00am – 6:00pm
Thursday – 9:00am – 5:00pm
Friday – Closed
Saturday – By Appointment Only

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(773) 588-4650

Great Smiles Dental Center

3451 W. Irving Park Rd
Chicago, IL 60618

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