New Patients


At Northwest Smile Center, we can help you improve your smile, your overall health, and boost your self-confidence.  We want you to thrive.

New Patient Forms
Please fill out online or print and fill out these forms so we can expedite your visit:

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

Please fax completed forms to 866-683-6479 or bring them with you to your first appointment.

Questions, Concerns, Appointments

Please click here to contact us to set up your new patient appointment.


Northwest Smile Center
114 W. Neider Ave, Ste 101
Coeur D'Alene, ID 83815
(Near Costco and Mongolian Barbeque)


Driving Directions