9500 Bonita Beach Rd. SE #301 Bonita Springs, FL 34135

New Patient Information

If you're a new patient with SMILE Dental, please contact our office at 239-319-2440 so we can set you up with your Online Patient Portal prior to your first visit. The online portal allows you to fill out your paperwork prior to your visit, at your own convenience and with no printing needed.

Your first visit will be a great opportunity to build the foundation of a long-lasting dental relationship. You'll have ample time during your first appointment to get to know your new dentists, Dr. Andisco & Dr. Bracho. Save time on the day of your appointment by filling out your new patient information online. We can't wait to meet you!

*in the event you are unable to access your patient portal prior to your visit, please print and fill out the forms below.

Patient Registration

Please fill out & bring with you on your visit.

Medical History

View & print our medical history form to bring with you on your visit.

Smile Evaluation

View & print our smile evaluation form to bring with you on your visit.

Office Location & Driving Directions

Get in Touch

SMILE Dental
9500 Bonita Beach Rd. SE
Suite 301
Bonita Springs, FL 34135

(239) 319-2440

Office Hours

Monday: 8:30am - 5:00pm
Tuesday: 8:30am - 5:00pm
Wednesday: 8:30am - 5:00pm
Thursday: 8:30am - 5:00pm
Friday: 8:30am - 5:00pm
Saturday & Evening Hours:
By Appt. Only