Germantown Pediatric Dental Center, LL logo

Patient forms

Online patient registration

We are asking you to complete a new patient questionnaire enabling our clinical and administrative staff to prepare for your first visit and to make your checking-in for your appointment quicker and easier. Please note that the information you submit will be encrypted for your protection and will go directly to our office. We appreciate the time that you will spend providing the information and helping us prepare for your visit. Thank you, and please call our office at (877) 992-4476 or email to info@germantownbigsmiles.com if you have any questions.
Patient registration, Medical information, HIPPA form, Financial policy and Consent for dental treatment
New Patient packet- English
New Patient packet- Spanish

Office Hours:

Mon:

9:00am – 5:00pm

Tue:

9:00am – 5:00pm

Wed:

9:00am – 5:00pm

Thu:

9:00am – 5:00pm

Fri:

Emergencies only

Sat:

Closed

Sun:

Closed

Any Question?

(877) 992-4476Contact Us!

Book An Appointment

*if you do not plan on using insurance, please type n/a in the insurance fields * Asterisk’ed field is a mandatory field to be filled out.

Testimonial

Our Patients Say

Diamond G

Such a great experience for my sons first dental appointment! All the staff were extremely nice & the dentist was amazing and kept my son comfortable, & encouraged & entertained. Great office, thank you all so much for the amazing experience!!

Harrison Skye

We've been coming here for years, and Dr. Echandy and the rest of the staff are amazing. They are great with the kids, helping them to feel comfortable with the experience of going to the dentist. Always fair. Good practical advice for tooth hygiene.

Ekpenyong Ekanem

Awesome facilities but most of all great and warm, knowledgeable people! The staff take professionalism to another level, mix up efficiency and warmth such that one coming away feeling like part of a family. We have two boisterous and hyperactive boys - and one on the spectrum- and they look forward to their visits!

Lewis Lampkin

This dentist office is hands down one of the best locations you can find. Friendly front staff and professional doctors make this my only choice for care for my kids.

Angelica Estabillo

Dr. Irma Echandy is my son’s pediatrician dentist. She is so friendly, gently, kind & always smiling:). I will recommend her to my other parents I know.

Pediatric dental clinic in Germantown, MD

In the integral development of children

Their oral health matters

877-992-4476

Give Us A Call

info@germantownbigsmiles.com

Drop Us a Line

Germantown, MD

Office Location

19847 Century Blvd, Lobby B, Ste 215 Germantown, MD 20874

877-992-4476

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