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Board Certified Pediatric Dentists

  • Diana Capobianco, D.D.S.
  • Todd Lyman, D.D.S.


  • Bel Air: 410-569-6700
  • White Marsh: 410-697-9000
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Patient Forms

Dental FormsTo request an appointment for treatment or a consultation, call the Bel Air office at 410-569-6700, the White Marsh office at 410-697-9000, or the Havre de Grace office at 443-526-7900.

In order to provide contactless patient registration, our office has recently switched to online forms.  Forms can be found below.  Forms must be filled out for NEW and EXISTING patients. 



Existing Patient Form

New Patient Form

Parent Delegation Form

HIPAA Release Form

Authorization to Release Dental Records


Insurance and Billing

Growing Smiles participates with and accepts insurance from several insurance providers, although the level of coverage varies on the contract with the carrier. Please call the office at 410-569-6700 (Bel Air),  410-697-9000 (White Marsh), or 443-526-7900 (Havre de Grace) so that we can review your insurance information with you.