Tacoma Cosmetic Dentist
A better smile that still looks like you
260+ 5-star reviews
Cosmetic dentistry improves the appearance of your teeth. At Dentistry NW, Tacoma cosmetic dentist Dr. Karl Smith, DDS, offers veneers, SureSmile clear aligners, whitening, bonding, and crown lengthening. The practice has served Tacoma, Fircrest, and University Place since 2002.
Let's talk about what
you'd love to change
Great cosmetic dentistry starts with listening, not a treatment menu. At Dentistry NW, Dr. Karl Smith takes time to understand what you'd like to change, what you love about your smile, and what feels right for you.
As a fee-for-service practice, we focus on your needs, not insurance limitations. You'll see your options, understand the costs upfront, and make every decision without pressure.
One dentist, all your care: Dr. Smith handles both cosmetic and general dentistry, so your care stays consistent.
20+ years of experience: Honest recommendations backed by decades of clinical experience.
Rooted in Tacoma since 2002: Proudly caring for patients in Tacoma, Fircrest, and University Place.
Cosmetic treatments, tailored to your smile
Sometimes, one small change makes all the difference. Other times, a combination of treatments gets you closer to your goals. Dr. Smith helps you explore five cosmetic options at Dentistry NW, all available alongside your general and restorative care.
How your cosmetic plan comes together
Four simple steps, with Dr. Smith guiding you from your first visit to your final results.
- 1
Let's talk about your smile
Your 60 to 90 minute first visit includes a conversation about your goals, an exam, digital x-rays, and a cleaning.
- 2
See your options and costs
Dr. Smith explains your options and pricing upfront. For veneers, you'll preview a wax-up in your mouth before deciding.
- 3
Get comfortable with your care
Your treatment happens in the same familiar office as your checkups, with nitrous oxide, pillows, and warm blankets available.
- 4
Keep your smile looking its best
Regular checkups help maintain your results. SureSmile patients receive clear retainers to keep teeth aligned.
Who does your cosmetic work
Dr. Karl Smith, DDS, has led Dentistry NW since 2012 and has practiced dentistry for more than 20 years. He keeps learning with the Spear Study Club and is a past President of the Pierce County Dental Society. Other Puget Sound dentists have named him a SeattleMet Top Dentist.
What cosmetic dentistry costs at Dentistry NW
Your cost depends on which treatments you choose and how many teeth they involve. Dr. Smith gives you clear, upfront pricing before any treatment starts, and Dentistry NW prices veneers per veneer.
Premium care, planned around you: as a fee-for-service practice, Dentistry NW builds your plan around your goals.
CareCredit and Cherry split your cost into smaller monthly payments. See the financing options on the New Patients page.
What Dentistry NW patients say
260+
5-star reviews
"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."
"Very kind and compassionate. They emphasize pain and anxiety management, take their time, and explain the plan, cost, and potential complications thoroughly."
Questions for your
Tacoma cosmetic dentist
What does a cosmetic dentist do?
A cosmetic dentist improves how your teeth look, including their color, shape, spacing, and alignment. At Dentistry NW, Tacoma cosmetic dentist Dr. Karl Smith, DDS, offers porcelain veneers, SureSmile clear aligners, take-home whitening, bonding, and crown lengthening.
Is a cosmetic dentist the same as my regular dentist?
At Dentistry NW, the same dentist does both. Dr. Smith provides your general care, such as exams, fillings, and gum disease care, and your cosmetic care, such as veneers, bonding, and whitening, in one Tacoma office.
How much does cosmetic dentistry cost at Dentistry NW?
Your cost depends on the treatments you choose and how many teeth they involve. Dr. Smith gives you clear, upfront pricing before you start, and veneers come with a per-veneer cost breakdown. Dentistry NW is a fee-for-service practice, is in network with Delta Dental, and offers CareCredit and Cherry financing.
How long does cosmetic treatment take?
Your timeline depends on the treatment, and Dr. Smith lays out the order of visits in your plan. Crown lengthening at Dentistry NW can happen in one visit, and Opalescence Go whitening happens at home. Veneers take more than one visit, because Dr. Smith makes a wax-up preview first and a dental lab then crafts your veneers.
Will my veneers or bonding look natural?
Dentistry NW plans cosmetic work to look natural and last. You see a wax-up preview of your veneers in your own mouth before you commit, and a trusted dental lab matches their fit and color. The Smile Gallery shows veneer and bonding cases from the practice.
Does cosmetic dental work hurt?
Dentistry NW offers nitrous oxide, and Dr. Smith discusses oral sedation with you at your consultation if you feel anxious. Tell the team about dental anxiety before your appointment, and they'll pace your visit around your comfort.
I'm not sure what I need. Where do I start?
Start with a visit with Dr. Smith. He'll look at your teeth, hear what you'd like to change, and give you honest answers with no pressure. You can book online or call (253) 460-1800.
Let's talk about the smile
you have in mind
You don't need to know which treatment you want. Just tell Dr. Smith what you'd like to change. He'll show you what's possible, explain your options, and give you clear pricing before you decide.
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






