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Great Smiles Birmingham

Healthy, Confident Smiles

New Patient Forms

New Patient Forms

Please download and complete each form prior to your appointment. You may submit them prior to your visit at [email protected] or by fax to (205) 967-3032.

New Patient History Form

HIPAA Consent Form

TMJ Screening History

Located at

Meet the Doctor

Dr. Michael Maniscalco

Michael Maniscalco DMD, MAGD PC was established to offer quality cosmetic dentistry services in the Birmingham, AL area. Dr. Maniscalco has a verity of credentials, and the experience to show for it. Along with extensive training and continuing education, our doctor employs the latest technologies and procedures to make sure we stay ahead of the curve. From patients needing cosmetic dentistry to sleep apnea, we treat each patient with respect and care, striving to create an atmosphere of assurance and trust, while you have the peace of mind that your smile and comfort is being handled by the best in dentistry. Compassion for our patients and the level of personalized services is unrivaled, and it shows in the work we do. Learn more about Dr. Maniscalco.