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Accepting new patients

Smile Design Fourth Street

Smile Design Fourth Street provides orthodontic treatment in St.

4300 4th St N Ste A, St. Petersburg, FL 33703
4.2(500 reviews)
Call Now(727) 955-2842WebsiteDirections

About Smile Design Fourth Street

Handles a steady stream of patients transferring mid-treatment from other offices, though scheduling and billing surprises come up often enough to note.

Smile Design Fourth Street is a general dental practice that also offers Invisalign, traditional braces, and clear aligners. Reviews mention a notable number of patients arriving mid-treatment after transferring from other offices, and many describe a clean, modern space with gentle handling of fillings and extractions. Dr. Dietl, who joined after a change in ownership and closure of the Central Avenue location, is noted for walking patients through procedures before starting. Scheduling reliability and unexpected costs come up as recurring frustrations for a meaningful share of reviewers.

Summary of 200 patient reviews, May 2020–September 2026, updated September 2026

Treatments offered

Traditional BracesTraditional BracesInvisalignInvisalignClear AlignersClear Aligners
GuidesHow much does Invisalign cost? →Clear aligner costs explained →Adult braces cost guide →

Who They Treat

Smile Design Fourth Street provides orthodontic treatment for the following age groups:

Children
Ages 6–11
Teens
Ages 12–17
Adults
Ages 18+

Insurance accepted

9 plans listed
AetnaBlue Cross Blue ShieldCareingtonCignaGEHA (Govt Employees)HumanaMetLifeRenaissance Dental
Smile Design Fourth Street does not list Medicaid. Coverage varies by plan tier — confirm with the office before your first visit.

What patients say

Latest review 3 weeks ago

What patients praise

  • Many reviews describe little discomfort with fillings and extractions and a calming approach for anxious patients.
  • The office is often called clean, modern, and spacious.
  • Dr. Dietl is noted for explaining treatment plans and options before beginning work.

Things to know

  • A significant number of reviews describe cancelled appointments, long waits, and booking confirmations not being honored.
  • Several reviews mention surprise out-of-pocket charges, billing disputes, and fees that varied by insurance status.

Who it suits

  • Patients transferring mid-treatment from another office
  • Anxious or nervous patients

Doctors patients mention

  • Dr. Dietl · 17 reviews

Orthodontic care in reviews

Few reviews discuss orthodontic treatment specifically; the feedback above reflects general dental visits.

Last 90 days
47 reviews
averaging 4.5★
Last 12 months
135 reviews
averaging 4.3★
Owner replies
56% of reviews
Reviews per month
23
Oct 2023Sep 2026
Reviews per month
Oct 20230
Nov 20230
Dec 20233
Jan 20242
Feb 20241
Mar 20242
Apr 20241
May 20246
Jun 20240
Jul 20242
Aug 20243
Sep 20242
Oct 20241
Nov 20241
Dec 20242
Jan 20251
Feb 20250
Mar 20255
Apr 20253
May 20251
Jun 20254
Jul 202512
Aug 202515
Sep 20252
Oct 20254
Nov 20251
Dec 20251
Jan 20266
Feb 202612
Mar 202613
Apr 202622
May 20269
Jun 202623
Jul 202615
Aug 202620
Sep 20269
Star ratings
  • 5★373
  • 4★32
  • 3★9
  • 2★10
  • 1★76
Average rating by year
  • 20184.8
  • 20194.3
  • 20204.5
  • 20211.7
  • 20223.5
  • 20233.6
  • 20244.1
  • 20254.0
  • 20264.3
1★5★
What patients talk about
PraiseCriticism
  • Friendly staff58 / 11
  • The dentist30 / 16
  • Scheduling & wait times7 / 30
  • Cost, insurance & financing5 / 24
  • Gentle, comfortable care23 / 3
  • Clear explanations15 / 6
  • Responsiveness1 / 20
  • Sales pressure0 / 15
What patients talk about
ThemePraiseCriticism
Friendly staff5811
The dentist3016
Scheduling & wait times730
Cost, insurance & financing524
Gentle, comfortable care233
Clear explanations156
Responsiveness120
Sales pressure015

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Recent reviews from Google

4.2
500 reviews
A Caprara
A Caprara
2 months ago
“

Nice place Staff is polite Out of pocket expenses ( not covered by insurance) is extremely off the charts ( high ) They do provide a payment plan from an outsource company, even that is extremely off the charts as well Unable to continue visiting this place due to a fix income

Review from Google

Julian Vazquez
Julian Vazquez
2 months ago
“

Front desk check in and check out was smooth. Ashley was so professional and informative which calmed my nerves during my procedure.

Review from Google

Gail Mc Donnell
Gail Mc Donnell
2 months ago
“

So gentle and still every tooth was addressed completely. This X-ray process was done and did not hurt at all. That was a first for me since usually I struggle with the procedure.

Review from Google

Aleena Manning
Aleena Manning
2 months ago
“

Great hygienist and general staff. Office to me lacked transparency as the date of my (expensive) crown placement is when they informed me I would have a visiting dentist since my dentist was on vacation. I felt there was a lack of care to the quality of my crown. To this day the gap left to my adjacent tooth provides space for food to always get stuck, requiring flossing 3x daily to avoid build up and prevent future cavities. This is not normal. My other teeth do not have this issue.

Review from Google

Ashleigh Calvert
Ashleigh Calvert
3 months ago
“

Carlos is a great hygienist! That was the best cleaning I have had in years! Dr. Dietl has also done some great work on my family members! 5 stars!!

Review from Google

Read all 500 reviews on Google →

Questions about this practice

What orthodontic treatments does Smile Design Fourth Street offer?+
Smile Design Fourth Street offers: Traditional Braces, Invisalign, Clear Aligners.
Does Smile Design Fourth Street accept dental insurance?+
Smile Design Fourth Street accepts Aetna, Blue Cross Blue Shield, Careington, Cigna, GEHA (Govt Employees), and others.
Is Smile Design Fourth Street accepting new patients?+
Smile Design Fourth Street is currently welcoming new patients in St. Petersburg, FL. Call (727) 955-2842 to schedule.
Where is Smile Design Fourth Street located?+
Smile Design Fourth Street is located at 4300 4th St N Ste A. Get directions: https://maps.google.com/?cid=7748534837663001546&g_mp=CiVnb29nbGUubWFwcy5wbGFjZXMudjEuUGxhY2VzLkdldFBsYWNlEAIYBCAA
What are the office hours for Smile Design Fourth Street?+
Smile Design Fourth Street office hours: Mon 8:00 AM–4:00 PM, Tue 8:00 AM–4:00 PM, Wed 8:00 AM–4:00 PM, Thu 8:00 AM–4:00 PM, Fri 8:00 AM–2:00 PM, Sat Closed–Closed, Sun Closed–Closed.
Does Smile Design Fourth Street offer payment plans?+
Yes, Smile Design Fourth Street offers flexible payment plans to make orthodontic treatment affordable.
What is the patient rating for Smile Design Fourth Street?+
Smile Design Fourth Street has a 4.2-star rating based on 500 patient reviews on Google.

Research with AI

ChatGPTPerplexityClaude
4300 4th St N Ste A
St. Petersburg, FL 33703
Get Directions
(727) 955-2842
thesmiledesignfourthstreet.com/
Open in Google Maps
Accepting new patients
Payment Plans Available
Emergency Hours Available

Accessibility & Parking

Wheelchair Accessible Entrance
Wheelchair Accessible Parking
Wheelchair Accessible Restroom
CashCredit CardsDebit CardsContactless / NFCCareCredit
Mon8:00 AM – 4:00 PM
Tue8:00 AM – 4:00 PM
Wed8:00 AM – 4:00 PM
Thu8:00 AM – 4:00 PM
Fri8:00 AM – 2:00 PM
SatClosed
SunClosed

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