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Smile Makers Dental Center in Leesburg, VA
Smile Makers Dental Center


Home Patient Info Patient Forms

Patient Forms


Close up of patient hands filling out patient forms on a tablet device. Thank you for choosing our practice as your dental care provider; we can assure you that you’ve made an excellent decision!

Before your first visit, we request that you complete the following forms and bring them with you to the appointment. By completing this information ahead of your scheduled visit, we can dedicate more time to you and your needs, as well as introduce you to our incredible team members!

If you have any questions while filling out this information, don’t hesitate to call our office! We are always happy to help.



Schedule Your Appointment


If you have any other questions about our practice, call one of our locations to schedule your appointment today!

Bailey's Crossroads


5659 Columbia Pike, Ste 100
Falls Church, VA

(571) 648-1711
Tuesday, Thursday, Friday: 10am - 5pm

City of Falls Church


313 Park Avenue, Ste 101
Falls Church, VA

(571) 648-1713
Monday - Thursday: 9am - 5pm

Fairfax


2810 Old Lee Highway, Ste 200A
Fairfax, VA

(571) 773-6563
Tuesday, Wednesday, Thursday: 10am - 6pm
Friday: 9am - 5pm

Leesburg


19 Catoctin Cir NE
Leesburg, VA

(540) 882-0421
Tuesday - Friday: 9am - 5pm,
Saturday: By Appointment

Tysons


8310 Old Courthouse Road, Ste A
Tysons, VA

(571) 773-6582
Monday - Friday: 10am - 6pm Saturday: By Appointment

Woodbridge


14416 Richmond Hwy Ste 16
Woodbridge, VA

(571) 628-8583
Monday - Friday: 9am - 5pmSaturday: By Appointment

Locations We Serve


Ashton Ranch
El Mirage
Kingswood Parke
Mountain Vista Ranch
Sun City Grand
Sun City
Commercial Core
Surprise Farms
Surprise
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Smile Makers Dental Center, 19 Catoctin Cir NE, Leesburg, VA 20176 : (540) 882-0421 : smilemakerscenter.com : 3/10/2025 : Related Terms: dentist va :