New Patients

Trust your smile to an experienced cosmetic dentist.
Smile Analysis

Complete our Smile Analysis to see what options are available for you!

Your smile affects your self-image, and can greatly influence the quality of your interactions with others.  Many people hold back from laughing or smiling because they are uncomfortable with their teeth.  The following questions will help you appraise your smile.

Go to the mirror, smile as wide as you can and ask yourself the following questions:

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If you answered yes to any of these questions, or have other concerns, please call or email our Dental Team to arrange your free consultation. Many options are available to best meet your individual needs and desires. You can have the smile you have always wanted!

We can’t wait to meet you!

Please bring:

  • Photo ID
  • List of Medications
  • Insurance cards and information
  • Completed form

If you are coming from another dental office please request that your records be transferred to:

Thomas K. Broering, DDS, Inc.
710 E. Monroe St.
P.O. Box 179
New Bremen, OH 45865

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