Clean Smile
 

Contact  Clean Smile®

If you have any questions or need to reach us for any reason, please either give us a call, between 9:00 a.m. to 7:00 p.m., Monday - Friday, and 9:00 a.m.. to 6:00 p.m.. on Saturday and Sunday 11:00 a.m. to 5:00 p.m.,  or send us an e-mail!

1940 Turner Rd SE 
Salem, OR 97302

Office: 503-585-7888  
Fax: 503-585-7896

doctor@cleansmile.net
appointments@cleansmile.net
franchiseinfo@cleansmile.net

  
Your Name
Your Email Address:
Message:
How did you hear about us?
   
New Patient Forms
     
Below are forms that will need to be printed and filled out. Please bring these forms with you on your first visit to our office. Thank you for your participation and please call if you have any questions or concerns.  
   
Clean Smile patient form
     
 
Get Adobe Acrobat
To be able to read a PDF file you will need Acrobat Reader® installed on your computer.
If you do not have Acrobat Reader, a free version of Adobe Acrobat Reader is available from Adobe's website.