Sign-up for SmilePlus at your local Coast Dental office. There are no forms to complete and no waiting period.

Please beware if you have already selected a plan and you change it, you will need to remove the plan you don't want from the shopping cart on the following page.
To go back to your shopping cart without any changes, click here.

Primary Information


Dependent Information


Second Dependent Information


Third Dependent Information

Please note the age of children we treat varies by office. Please consult your local office to determine the eligibility of children before enrolling them in SmilePlus.
To find the office closest to you, please call 1-800-32-SMILE.
Total Enrollment Fee: $ 0.00