Mississippi Smiles - Patient Center

Patient Center

New Patients

Your child’s journey to dental health begins here at Mississippi Smiles Dentistry. Our family-friendly dentists are dedicated to delivering healthy smiles that last a lifetime. We are proud to serve the Jackson, 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. 


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


Visiting our dental office

County Line: This family-friendly dentistry can be found on E County Line Rd – just west of S Wheatley St. Mississippi Smiles shares a complex with Guitar Center. 

Woodrow Wilson: Our award-winning dental office is located directly on W Woodrow Wilson Ave – sharing a parking lot with Save A Lot and Trustmark Bank. 


We can't wait to see you!