South Mississippi Smiles - New Patient

Patient Center


New Patients

Your child’s journey to dental health begins here at South Mississippi Smiles. Our board-certified pediatric dentists are dedicated to delivering healthy smiles that last a lifetime. We are proud to serve the Biloxi, Gulfport, and Pascagoula, Mississippi communities.

To schedule a new patient appointment at our award-winning office, please complete the forms below and review our privacy practices. If you prefer to complete these forms in person, please arrive 15 minutes prior to your scheduled appointment time. 

 

FormLanguageLink
New Patient FormEnglishForm
Designation of Consent FormEnglishForm
Review of Privacy PracticesEnglishPDF
Acknowledgement of Notice of Privacy PracticesEnglishForm

 

Visiting our dental office

Gulfport: Our award-winning dental office sits right next to Walmart Supercenter off Middle Driveway – just west of Three Rivers Rd. 

Pascagoula: This family-friendly dentist is located directly off Hospital Rd – across from Singing River Hospital’s ER entrance. 

 

We can't wait to see you!