Premium reconstructive, cosmetic and family dentistry since 2002

Yes. Dentistry NW is currently welcoming new patients in Tacoma, Fircrest, and University Place. Call (253) 367-3972 or request a time online; we'll respond the same day with options that fit your schedule, including early morning appointments from 7am.

Three things that are harder to find than they should be: a dentist with 20+ years of experience who still takes continuing education seriously, a practice that has operated continuously in Tacoma since 2002, and a no-upsell policy that's been part of how this office runs since the beginning.

With insurance, your plan has partial authority over what gets authorized, when, and in what sequence. Fee-for-service means the clinical conversation stays between you and Dr. Smith about what your teeth need, not what the plan will cover.

A comprehensive exam, full-mouth x-rays, and a cleaning, plus about twenty minutes of conversation before any of it starts. We ask what's been bothering you, what your previous dental visits were like so we can tailor your experience to you, and what you're hoping to get out of the relationship. Many dental offices skip that part. We don't, because the clinical picture is clearer when we understand the context.

No. We see this regularly; the ADA estimates roughly 100 million Americans have no regular dental provider. Gaps in care are common, and we're not going to make you feel bad about yours. We'll assess where things stand, explain what we find, and build a plan from there. The only thing that makes a long gap worse is extending it.

Yes. Nitrous oxide sedation is available for patients who need it, and appointments are paced around your comfort rather than our schedule. Studies estimate that 36% of the U.S. population experiences dental fear significant enough to delay care, including patients who've had painful experiences at other offices. If that's you, tell us before you come in. We'll set things up accordingly.

Both, depending on what's needed. Dr. Smith places and restores implants in-office and performs bone grafting, including socket preservation. For cases requiring an oral surgeon or periodontist, he coordinates directly with a network of Tacoma-area specialists he's worked with for years, so you're not starting over with someone who doesn't know your history.

Every six months for most patients. If there's active gum disease, a cracked tooth we're monitoring, or treatment in progress, we'll recommend a cadence that fits your situation specifically. The American Dental Association supports individualized recall schedules over blanket six-month rules, and so do we.

Because the patients kept coming back and started bringing their kids, and referring friends and family. Tacoma dental practices that rely on upsells, rushed appointments, or insurance-driven treatment plans don't retain multi-generational families. The ones that do earn it through straightforward care, honest communication, and showing up the same way year after year. That's the model here, and it's worked since 2002.