Smile Program Application Form

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Our participating dentists provide many cosmetic and restorative dental treatments beginning with a free consultation and X-ray at no obligation.

Save up to

On Implants with Porcelain Crowns

Save up to

On Dentures

Save up to

On Full Porcelain Veneers

Save up to

On Full porcelain Crowns

We’ve built our patient and dentist relationships based on trust.

We team you up with a cosmetic dentist and help reduce the cost through our dental grants.

Fill out the application

Inform us about your dental needs, and then you will receive a call from us!

Connect with your Dentist

We’ll team you up with experienced dentists based on your specific needs; you will receive a consultation and X-ray at $0 cost and no obligations.

Save more!

We’ll help to reduce your overall cost through our participating dentists.


Smile Program is a California based company, founded by two individuals that had a vision of making high-quality dental care more affordable. The program only works with high-qualified dental providers that prioritize patient care.

“I originally had just googled online, to see if I can get help to get the procedure done, and the Smile Program contacted me on the phone, very professional, and they sent me here to you guys, and this is where I’m at right now. This is just gonna change and build my confidence. So once this gets done, my life is gonna change for the better, and I can’t wait to get the procedure started!”

Frequently Asked Questions

  • How Does the Program Work?

    Our mission is to make quality dental care affordable through our provider. You will receive a consultation and X-Rays at NO cost to you. You will also receive dental treatments at a reduced cost through our dental providers. This can range between 20-50%. All of that at no obligations.

  • The Smile Program will connect you with a participating dentist in your area. The participating dental office has agreed to provide an assessment at no obligation to you.

  • Absolutely not. There are no hidden fees. Our mission is to make high-quality major dental care more affordable.

  • Anyone who is in need of any dental work.

  • All it takes is our very quick application where you explain your dental needs. From there, we will team you up with a provider that can provide the needed treatment.

  • We want to be transparent with everyone. Your initial consultation and initial X-Ray fees are at NO cost to you. The program will help you reduce your treatment cost between 20-50%. There will be a remaining balance if you do decide to start treatment at that provider.

  • Due to the high volume of applications, we suggest applicants to book their initial assessment within 5 business days. There are a limited amount of applicants that each office in a certain area can visit.