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Smile Design Fourth Street provides orthodontic treatment in St.
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
Who They Treat
Smile Design Fourth Street provides orthodontic treatment for the following age groups:
Insurance accepted
9 plans listedWhat patients say
Latest review 3 weeks ago
What patients praise
Things to know
Who it suits
Doctors patients mention
Orthodontic care in reviews
Few reviews discuss orthodontic treatment specifically; the feedback above reflects general dental visits.
| Oct 2023 | 0 |
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| Nov 2023 | 0 |
| Dec 2023 | 3 |
| Jan 2024 | 2 |
| Feb 2024 | 1 |
| Mar 2024 | 2 |
| Apr 2024 | 1 |
| May 2024 | 6 |
| Jun 2024 | 0 |
| Jul 2024 | 2 |
| Aug 2024 | 3 |
| Sep 2024 | 2 |
| Oct 2024 | 1 |
| Nov 2024 | 1 |
| Dec 2024 | 2 |
| Jan 2025 | 1 |
| Feb 2025 | 0 |
| Mar 2025 | 5 |
| Apr 2025 | 3 |
| May 2025 | 1 |
| Jun 2025 | 4 |
| Jul 2025 | 12 |
| Aug 2025 | 15 |
| Sep 2025 | 2 |
| Oct 2025 | 4 |
| Nov 2025 | 1 |
| Dec 2025 | 1 |
| Jan 2026 | 6 |
| Feb 2026 | 12 |
| Mar 2026 | 13 |
| Apr 2026 | 22 |
| May 2026 | 9 |
| Jun 2026 | 23 |
| Jul 2026 | 15 |
| Aug 2026 | 20 |
| Sep 2026 | 9 |
| Theme | Praise | Criticism |
|---|---|---|
| Friendly staff | 58 | 11 |
| The dentist | 30 | 16 |
| Scheduling & wait times | 7 | 30 |
| Cost, insurance & financing | 5 | 24 |
| Gentle, comfortable care | 23 | 3 |
| Clear explanations | 15 | 6 |
| Responsiveness | 1 | 20 |
| Sales pressure | 0 | 15 |
Recent reviews from Google
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
Front desk check in and check out was smooth. Ashley was so professional and informative which calmed my nerves during my procedure.
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.
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.
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!!
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