This form allows Dr. Sammarco to perform a preliminary review of your case online. Please fill out the form to initiate this process. Thank you for contacting our practice.

Please answer all questions
*Patient Name:
*E-mail Address:
Phone Number:
1. List in priority the things you would most like to improve about your smile.
2. Have you had any previous esthetic dentistry? (If no, go to question #4)
a. What was the reason for your previous work?
b. When was your last dental visit?
3. Do you have any interest in teeth whitening?
4. If you have never had dental esthetic work, what are your realistic desires -- i.e., what will/would it take for you to be satisfied with the outcome?

 

Click here for a detailed & printable map of our location.

Click here to obtain point-to-point driving directions to our Oviedo location.
  Dr. Donald J. Sammarco, DDS, FAGD
2200 Winter Springs Blvd # 103
Oviedo, FL 32765
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P. 407-365-9772
F. 407-365-6918
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