Please wait...

Modern Smile Dental Forms

Modern Smile Dental Forms

Please use the links to the right to fill out your forms before arriving at our office. This will cut down on your wait time before your appointment for dentals services.

New Patient Form

Child Medical History Form

Patient Privacy Acknowledgement Form

COVID19 Form

901 Russell Avenue, Suite 100
Gaithersburg, Maryland 20879

Ph: 301-977-8640
Fax: 301-977-8642

Keeping Your Teeth In Excellent Condition...

Get appointment today and we'll make your smile perfect

Get Appointment

Holistic General Dentistry Services

Modern Smile Dental uses a biological, holistic approach to dental care considering your oral health is important in relationship to your overall health and wellness. Biological/Holistic Family Dentistry is a safe, mercury free and mercury safe environment.

General Dental

We strive to create a high quality of care with the least amount of pain. Our conservative approach, latest technology and comfortable environment put our patients at ease. Read more now about our General Dental Services

Cosmetic Care

Wo offer comprehensive cosmetic, restorative, and preventive care, includes; Laser Tooth whitening, Invisalign braces, and beautiful, realistic porcelain veneers and much more. Learn more about Cosmetic Dental Services.

Family Care

We are committed to providing you and your family the highest quality dentistry for patients of all ages, from young children to seniors. We offer comprehensive dental care including preventive dentistry. We offer Family dental care for all ages.

Holistic Care

We utilize the most advanced biochemically safe dental materials because we recognize what we use in your mouth will affect your entire body. The biological and holistic dentists perform all manner of restorative dentistry. Learn what Holistic Dental care means to you.

Your confident smile is important.

Get appointment today and we'll make your smile perfect

Get Appointment


Visit Our Testimonial Page to Listen to Video Testimonials.