Patient Forms - Merritt Island, FL

Welcome to Amazing Smiles!

We look forward to welcoming you to our office.

Taking Your First Steps Towards A Confident Smile

Dr. Duongvannak J.B. Keo and his team welcome you to Amazing Smiles, a private practice in Merritt Island dedicated to providing a high level of patient care. We are a leader in the art of modern dentistry and provide a wide range of general and cosmetic dentistry services for patients of all ages.

Advanced Dental Care Services of the Entire Family

The team at Amazing Smiles offers quality care in a friendly and caring environment. We are a private practice and dedicated to meeting the needs of our patients with a comprehensive approach. You can count on us to prepare a customized treatment plan that addresses all of your oral healthcare needs and aesthetic concerns. Become a patient at our practice and you won’t have to make appointments with other doctors to get the treatment you need. We offer a variety of dentistry services in house for your convenience!

At Our Office You'll Enjoy:

Patient-friendly environment
Caring and attentive team
Minimally-invasive procedures
Comprehensive care in one facility
Personalized approach
Third-party financing options

Before Your First Visit

Here are the things you should know before you visit our office for the first time.

What Should I Expect?

Your first visit with Dr. Keo will include a comprehensive oral evaluation so that we can determine any underlying issues and existing dental problems. You will have the opportunity to talk our Team about your concerns and share information about your oral health history.

Your Consultation

The consultation visit will give you a chance to learn more about our practice and get answers to any questions you have about our services. We can review treatment options, financing plans and insurance coverage during this visit.

Advanced Dental Technology

Our office is equipped with advanced dental technology to ensure our patients get the high level of care they deserve. We have an Planmeca crown machine to provide same-day crown services and the office is equipped with digital x-rays, an intraoral camera, and the VELscope system.

How Long is the First Visit?

The length of your first visit will depend on whether you are getting a dental cleaning with other services, or if you are just coming in for an oral evaluation. We can provide an estimated time of your visit before you arrive.

Don't Postpone Your Dental Care

Schedule your appointment today!

What to Bring to Your First Appointment

All new patients will need to fill out a patient form and provide details about their oral health history, medical history, medications they are taking, and any recent surgeries.

We also encourage you to bring the following to your appointment:

Don't wait to schedule your visit!

reserve your appointment today.

I understand the information disclosed in this form may be subject to re-disclosure and may no longer be protected by HIPAA privacy regulations and the HITECH Act.