ABOMS
Beckley: (304) 256 - 3777
Summersville: (304) 872-0300
Princeton: (304) 425-8220
Cosmetic Analysis

For a cosmetic analysis, simply complete the form below and someone from our dental team will contact you soon.


Do you have concerns about? (please check all that apply)

Gaps or Spaces between Teeth
Color of Teeth
Shape of Teeth
Size of Teeth
Show too much Gum
Symmetry of Teeth
Position of Teeth (crooked or crowded)
Teeth Chipped or Broken
Discolored Restorations (i.e. existing crowns, fillings, bonding)
Front Teeth
Back Teeth
Inflamed or Bleeding Gums



What do you like best about your smile?

What do you like least about your smile?

Your Name:
Your Email Address:
Comments or Questions:



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Quick Contact


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Southern West Virgina Oral Surgeon · Lewis D. Gilbert, DDS
433 Carriage Drive · Beckley, WV · 25801 | 807 Broad Street · Summersville, WV · 26651 | 220 Locust Street · Princeton, WV · 24740