Dental Services in Tacoma
Everything your smile needs, all under one roof
Comprehensive care,
built around you
At Dentistry NW, we believe the best dental care is the kind that fits your life, not a one-size-fits-all checklist.
Our dental services span preventive, cosmetic, reconstructive, and implant care, all delivered by Dr. Karl Smith and a team that’s been serving Tacoma, Fircrest, and University Place for over 20 years.
Whether you need a cleaning or a complete smile transformation, you’ll find it here.
Dental Implants
Permanent, natural-looking teeth, placed and restored in-office
Dental implants replace both the tooth root and crown, so they look, feel, and function like natural teeth.
Dr. Smith places and restores implants in-office using digital technology to make your treatment more efficient and easier to understand.
We offer free implant consultations that include photos and study models so you have a clear picture of what treatment involves before you commit to anything.
Book Online →Clear Aligners
Straighter teeth, no brackets, no messy impressions
We use SureSmile, a fully digital workflow by Dentsply Sirona, for accurate, predictable results without the mess of traditional goopy impressions.
A PrimeScan digital scanner captures the shape of your teeth in minutes. From there, your custom aligner trays are fabricated to your exact specifications and worn 20–22 hours a day, gradually moving your teeth into alignment.
- SureSmile clear aligners for adults
- Fully digital from scan to delivery
- Intraoral cameras are used to show you exactly what’s happening before, during, and after treatment
- Clear retainers to maintain your results after treatment
Botox for TMJ
Dental expertise meets aesthetic care, in the same chair
One of the things that makes Dentistry NW genuinely different: Dr. Smith offers Botox for both TMJ disorder and cosmetic concerns. That means jaw pain relief and aesthetic treatment are available in the same office, from the same provider who already understands your anatomy.
- TMJ disorder and jaw pain relief
- Cosmetic Botox for fine lines and facial balance
- Administered by Dr. Smith, who has deep familiarity with facial and jaw anatomy
- Combines naturally with restorative and cosmetic dental care for a complete result
Veneers
A smile that looks natural, beautifully yours
At Dentistry NW, the veneer process starts with a wax-up, a physical preview of your proposed changes that you can actually see in your mouth before committing. This try-in step means no surprises, just confidence.
- Consultation and wax-up preview so you can visualize your final result before treatment begins
- Custom lab-crafted veneers (porcelain when possible) for durability and natural translucency
- Dr. Smith works with a trusted dental lab for precision fit and color match
- Priced per veneer; we’ll provide a detailed cost breakdown at your consultation
General Dentistry
Foundational care, done honestly
The best dental care is care you can trust. Dr. Smith tells you what needs attention now and what can wait — and shows you the x-rays either way.
We’ve been providing general dental care to Tacoma families since 2002. Some patients have been with us for three decades. That kind of relationship is only possible when patients trust that their dentist isn’t running a production line.
- Cleanings and exams
- Digital x-rays
- Tooth-colored resin fillings
- Root canals
- Extractions
- Dental crowns
- Bridges
- Dentures
- Mouthguards
- Sealants
- Sleep apnea oral appliances
- Inlays and onlays
- Children’s dentistry
- Emergency dentistry
- Laser frenectomy
- Hard and soft tissue laser for drill-free fillings and gum surgery
Cosmetic Dentistry
The smile you want, with the expertise to make it last
Cosmetic dentistry at Dentistry NW is all about helping you achieve the smile you want with results that look natural and last.
With more than 20 years of experience, Dr. Smith combines artistic attention to detail with advanced clinical expertise to create smiles that complement your features, not overpower them.
Because both your dental care and cosmetic treatment happen in the same office with the same dentist, your care stays consistent, and your results stay beautifully coordinated.
- Porcelain veneers
- Clear aligners (SureSmile)
- Teeth whitening
- Botox
- Bonding
- Crown lengthening
Reconstructive Dentistry
Rebuilding function, restoring confidence
At Dentistry NW, complex restorative work is Dr. Smith’s specialty. He approaches each case with a full workup: photos, study models, and an interdisciplinary plan that brings in the right specialists when needed.
We work closely with periodontists, oral surgeons, endodontists, and orthodontists across Tacoma for complex, multi-phase cases.
- Dental implants
- All-on-X implants
- Implant-supported bridges
- Implant-supported dentures
- Full-mouth rehabilitation
- Bone grafting
- Dental crowns
- Bridges
- Dentures
- Crown lengthening
- Inlays and onlays
Invest in a smile that
lasts a lifetime
Dentistry NW is a preferred provider, in-network with most major dental insurance plans. If we’re out of network with your plan, we’ll still file your claims for you and help you get the most out of your benefits. We also welcome patients without insurance and offer flexible payment options through CareCredit and Cherry.
We provide clear, upfront pricing and offer flexible payment options through CareCredit and Cherry to ensure high-caliber results stay within reach.
Don't let a policy dictate your health. Call us to discuss a plan that works for you. Call (253) 367-3972 →
260+ reasons
patients stay with us
"The entire experience was top notch and redefined what going to the dentist should feel like. I felt welcome, cared for, and much less nervous about my next visit."
"Dentistry NW is hands-down the best dental care I've had. They are professional, friendly, and make me feel like family. I appreciate how collaborative they are with my care."
"Very kind and compassionate. They emphasize pain and anxiety management, take their time, and explain the plan, cost, and potential complications thoroughly. Not just a good dental office — good people."
Questions before your first appointment?
Get answers
What dental services does Dentistry NW offer?
Dentistry NW offers a full range of dental services, including preventive cleanings and exams, cosmetic treatments like veneers, clear aligners, and Botox, and reconstructive care, including implants, All-on-X, crowns, bridges, and full-mouth rehabilitation. Emergency care is also available.
Do you place dental implants in your Tacoma office?
Yes. Dr. Smith places and restores dental implants in-office using a digital workflow. For full-arch cases like All-on-X, he collaborates with Tacoma-area oral surgeons. Free consultations are available and include photos and study models.
What clear aligner system do you use?
We use SureSmile, a fully digital clear aligner system by Dentsply Sirona. Treatment starts with a digital PrimeScan scan — no messy impressions — and produces precise, predictable results for adult patients.
Can I get Botox at a dental office?
Yes. Dentists are qualified and well-positioned to administer Botox in the face and jaw region. Dr. Smith offers Botox for both TMJ disorder relief and cosmetic purposes, so patients can address dental and aesthetic goals in the same visit.
Do you accept dental insurance for your services?
Dentistry NW is a preferred provider, in-network with most major dental insurance plans. If we’re out-of-network with your plan, we’ll still file your claims and help you get the most from your benefits. We also welcome patients without insurance and offer flexible payment options through CareCredit and Cherry. Contact our office to confirm your coverage before your appointment.
Keep smiling with us
Book your visit today — our team is ready to welcome you.
Our Tacoma
Dental Office
Looking for a trusted Tacoma dentist who's been part of the community for decades? Our office sits on South Mildred Street in West Tacoma, easily reached from University Place, Fircrest, and the North End. We're open early and stay here late, so appointments fit around work, school, and everything else a week throws at you.
7:00 am to 7:00 pm
