Veneer Content Pop Up - Steele Creek Smiles

What's your main goal for your smile?*

Whiter Teeth

Straighter Teeth

Fix Chips or Gaps

Replace Old Dental Work

Full Smile Transformation

Please select at least one option

Which best describes your current smile?*

My teeth are healthy but I want a cosmetic upgrade

I have some chips, cracks, or gaps I want fixed

I've had some dental work before, but I want a better look

I have multiple dental issues and need a full overhaul

Please select at least one option

What is your experience with veneers?*

This is my first time exploring veneers

I've researched veneers but never had a consultation

I've had a veneer consultation and am looking for a second opinion

Please select at least one option

Which best describes your credit score?*

Excellent (750–850)

Good (700–749)

Fair (641–699)

Rebuilding (<640)

Please select at least one option

How ready do you feel to do something about your situation?*

I'm Ready And Need A Solution ASAP

Looking To Commit Within The Next 1–2 Months

Not Ready Yet, Still Researching

Please select at least one option

Eligibility for financing is determined by a few factors. What is your employment status?*

Employed

Unemployed

Retired

Please select at least one option

Is there a particular approach you're interested in?*

Top 8 / Bottom 8: I want maximum aesthetic control and creative freedom with the color of my new smile.

2, 4, or 6 Veneers: I want strategically placed veneers that blend with my natural teeth. I'm seeking aesthetic improvement with minimal work.

Open to anything: I trust the doctor's expertise and want their recommendation on what would be best for my smile and goals.

Please select at least one option

Insurance does not cover cosmetic veneers. However, affordable payment plans are available — would you like our help with that?*

Yes, I can make a down payment and would like to finance the rest

Yes, however I do not have a down payment and will need full financing

No, I have been saving for this procedure and will be paying cash

Please select at least one option

Almost done! Tell us how to reach you.*

Your Name

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Please enter last name

Email Address

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Phone Number

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By submitting this form and signing up for texts, you consent to receive customer care text messages (e.g., appointment reminders) from Steele Creek Smiles at the number provided, including messages sent by autodialer; consent is not a condition of purchase; message and data rates may apply; message frequency varies; unsubscribe anytime by replying STOP; reply HELP for help. Privacy Policy

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Sorry, you may not be a good candidate at this time. Call us at (704) 587-1010 if you have any questions.

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