Smile South Florida Cosmetic Dentistry
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New Patient Forms

Serving Fort Lauderdale, Boca Raton, & Miami

For your convenience, we have provided some of our office forms online!

Our doctors are committed to being on-time for your appointment so that you do not have to wait.  In order to expedite the process, feel free to download, print, fill out, and bring the forms to us during your first appointment.

Even though our waiting room is fun, I'm sure you have better things to do.

.  Welcome Form

This form gives us all the general information about you that we need to build the beginnings of your record. Click here.

.  Medical History

This form provides use information about your medical history. Click here.

.  Financial

This form explains our financing options and has you select the option that works best for you. Click here.


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Smile South Florida Cosmetic Dentistry Blog


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Pankey Dentist National Dental Publication - Best Cosmetic Dentist in Fort Lauderdale and Boca Raton National Dental Publication - Best Cosmetic Dentist in Fort Lauderdale and Boca Raton Sedation Dentistry Extreme Makeover Dental Lab
Se Habla Español y Falamos Português

  Dentists License Numbers: Dr. Nottingham (6091) & Dr. Anenberg (11552)

All photographs are of our actual patients who have provided us written consent to display their pictures.
Any use of these images without prior written consentof Smile South Florida is strictly prohibited.

Smile South Florida Cosmetic Dentistry
Offices of Dr. Charles Nottingham,Dr. Kenneth Anenberg, & Associates

Restorative Dentistry, Reconstructive Dentistry, Sedation Dentistry
Periodontic-Implant Dentistry, General Dentistry, & Family Dentistry

Broward County Office
7401 N. University Dr., Ste. 207
Tamarac, FL 33321
Tel: (888) 803-6337
Fax: (954) 726-4292
Click here for a Map

Boca Raton Office
7301-A W. Palmetto Pk Rd. #303-C
Boca Raton, FL 33433
Tel: (888) 803-6337
Fax: (954) 726-4292
Click here for a Map

To view our notice of privacy practices, click here (HIPPA Rules & Regulations)

To view our Internet Notice of Privacy, click here

Smile South Florida's team of specialized cosmetic dentists and periodontist serve all of
Broward County, Miami Dade County, and West Palm Beach County
including Fort Lauderdale, Tamarac, Coral Springs, Boca Raton, Avenura, and North Miami.

Coconut Creek | Cooper City | Coral Springs | Davie | Deerfield Beach | Hillsboro Beach | Hollywood | Lauderhill |
Lauderdale Lakes | Lighthouse Point | Margate | Miramar | Parkland | Pembroke Pines | Plantation|
Pompano Beach | Southwest Ranches | Sunrise & Sawgrass Mills | Weston | Wilton Manors

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