Teeth Whitening at Home vs. Professional

Are you looking for a whiter smile? You’ve got two options – professional teeth bleaching done by a dentist, or at-home solutions. Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells in Brentwood, TN can answer your questions.Brentwood teeth whiteningEach option has its pros and cons, but at-home tooth-bleaching kits can be a bit tricky, so be sure to speak with your dentist before going this route. Good results are not guaranteed, and bleaching will not whiten porcelain crowns or composite tooth-colored bondings, so results can be patchy.Professional Tooth WhiteningWhitening performed by your dentist can usually make your teeth brighter more quickly. The bleaching solution used by dentists is usually much stronger than at-home kits. Also, your dentist may use heat or light to speed up and intensify the whitening process.The most dramatic results — teeth generally get three to eight shades brighter — usually take several 30- to 60-minute in-office visits. Some dentists use procedures that can even be done in a single 2-hour appointment. The cost of professional tooth whitening can range from $500 to $1,000.

At-Home Teeth Whitening Kits

While there are many choices for whitening your teeth at home, the most common include:
  • Teeth whitening gels. Gels are applied onto your teeth with a brush or can be attached with a thin strip. These are peroxide bleaching solutions that need to be applied once or twice a day for 10 to 14 days. Your tooth results can last four or more months, and these products may cost between $10 to $55.
  • Teeth bleaching systems. These solutions use a mouthguard-like tray that is filled with a peroxide-based bleaching gel. It is then placed over the teeth and held for one to several hours a day for up to four weeks. You can buy these tray-based teeth whitening products over the counter or have one custom-fitted by your dentist. The cost can range from $150 to $600.
  • Teeth whitening toothpaste.  Whitening toothpaste contains chemicals or polishing agents that help scrub stains from teeth, without the addition of a bleaching agent. Tooth-whitening toothpaste is relatively inexpensive and brightens teeth by about one shade.

Keeping Your Teeth White

Whether you end up choosing an at-home teeth-whitening system or you decide to get them bleached by your dentist, make sure to maintain the results through brushing and flossing daily. Also, avoid foods and beverages such as:
  • Black tea, coffee
  • Wine
  • Sports drinks
  • Soda pop
  • Berries
  • Sauces

Teeth Whitening: Why You Should Talk to Your Dentist

Teeth bleaching can make teeth sensitive — or be painful for people with sensitive teeth. When used incorrectly, home kits can also lead to burned — even temporarily bleached — gums.It works best for people with yellow teeth and is less effective for people with brown or gray teeth. Overall, teeth whitening is worth the time and money, but talk to your dentist before you use an over-the-counter tooth whitening kit and review all options before purchasing.

Contact Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells to help you decide.


Location: (Tap to open in Google Maps)

105 Powell Ct Ste 101 Nashville, TN 37027

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Posted in Beautiful smiles, Teeth Whitening, Tooth Whitening

Dental Bridges Can Still be a Good Solution

Dental Bridges or Dental Implants in NashvilleDental Bridge Pros and Cons

The primary advantage of a dental bridge is that it is thought to be one of the most cost-effective solutions to replace missing teeth. A second advantage is it doesn’t require grafting if bone loss is present. Third, it is a quicker solution to replace teeth. At Nashville Center for Aesthetic Dentistry, 105 Powell Ct Ste 101 Nashville, TN 37027, we can help assess your situation and arrive at the best solution based on your individual needs. The most important disadvantage of using a bridge is that it places more strain on the two teeth which are attached to the bridge as endpoints. Therefore, a bridge is typically not expected to last a lifetime. A bridge also does not address any concerns about underlying structural problems such as bone loss, which will continue to spread even after the tooth replacement is resolved. A cantilevered bridge is especially notorious for placing a large amount of stress on the single tooth to which they’re joined. Maryland bridges also present problems, because of their minimal area of attachment and limited ability to absorb chewing force.

Mixed Solutions

In cases where patients have lost several teeth in a row, it’s common for dentists to use a mixed approach. For example, if all the molars are missing, a dentist will typically place an implant at one end, where there is no tooth. They then may then attach a crown at the other end to create a bridge between the implant post and the healthy crowned tooth. Similarly, a person who is missing a good number of their teeth in one section of their mouths may be a good candidate for a similar bridge-like structure that will straddle two implant posts.

Which Will Insurance Cover?

Many dental insurance companies see both implants and bridges as high-end, costly solutions, but most are likely to pay for a bridge procedure than an implant, due to the cost difference. If you are considering various treatments for your missing tooth, contact your insurance provider before making a decision. Cost is one of the most important factors when deciding which option would be right for most people.

Deciding on the Right Choice

The best thing you can do to make sure you get the right treatment for your missing tooth is to talk to your dentist to carefully weight all of the specific considerations of your situation to make the right recommendation for you, including insurance plans.

Contact Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells to help you decide.


Location: (Tap to open in Google Maps)

105 Powell Ct Ste 101 Nashville, TN 37027

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Posted in Dental Bridges, Dental Crowns, Dental Implants

Differences Between CEREC and Porcelain Dental Crowns

dental crowns in nashvilleTooth crowns can potentially cover a lot of dental problems including gaps, cracks, and misaligned teeth. At Nashville Center for Aesthetic Dentistry, 105 Powell Ct Ste 101 Nashville, TN 37027, this procedure used to require two dental visits over several weeks to get a smile overhauled. However, with new technology, you can now be fitted with same-day crowns using CEREC technology, which will ensure that new teeth are manufactured and fitted on the same day. However, there are a lot of people who are skeptical of new technology. One of the major questions people ask is whether there is any dental difference between traditional procedures and the same-day CEREC procedure. The answer is yes.

Differences Between the Types of Crowns:

  1. Procedures

A traditional procedure requires two appointments and a few weeks of waiting. The first appointment involves a consultation during which the dentist will get an impression of your tooth. professionals at a dental lab will use this impression to create a crown that resembles the structure of your natural tooth. The process can take several weeks. However, a same-day CEREC crown uses CAM-CAD technology to fabricate a crown in the dentist’s office. So, you don’t have to wait to get your new teeth.

  1. Materials Used

CEREC crowns are made exclusively from ceramic, whereas traditional crowns use a variety of materials including ceramic, porcelain, metal, and porcelain-fused-to-metal. Crowns that use metal are very strong, as metal bonds very well tooth dentin.

  1. Durability

While craftsmen in lab manufacture traditional crowns and the final product is a lot stronger than same-day crowns made via CEREC. Additionally, materials like leucite-reinforced ceramic or porcelain-fused-to-metal can only be used to make traditional crowns, so they are stronger and more durable. However, these materials are not as nice looking as ceramic, so they are not ideal for a crown on your front teeth.

  1. Temporary Crowns

When traditional crowns are chosen as a solution, a patient will get temporary crowns placed, while waiting for the permanent ones to be fabricated. Temporaries have a couple of disadvantages like being uncomfortable and shifting in your mouth. Most do not fit very well, and tooth decay is more likely because food can get trapped under the temporary. Same-day crowns have eliminated the need for temporaries as you can get fitted crowns in one appointment.

  1. Details

Same-day CEREC crowns are aesthetically pleasing and quite natural-looking. But if you want a front tooth that exactly matches its neighbors, a standard crown hand-made from ceramic or porcelain can do the trick. There will never be anything to replace manual fabrication by an expert craftsman who is gifted with aesthetic abilities.

Contact Nashville Center for Aesthetic Dentistry


Location: (Tap to open in Google Maps)

105 Powell Ct Ste 101 Nashville, TN 37027

Posted in Cosmetic Dentistry, Dental Crowns, Restorative Dentistry

Is Age a Factor in Dental health?

senior dentalAge by itself shouldn’t affect oral health

Some health conditions, like joint pain in your hands, can make it difficult to perform regular tooth brushing and flossing. Some folks can also experience an inherited condition leading to dental issues. Finally, some medications can also influence dental health, or even contribute to forgetting to brush due to side effects. For all of these reasons, dental hygiene for seniors should be a priority, and should always include scheduling regular dental checkups and teeth cleanings every six months or more with your regular dentist and hygienist at  Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells.

Senior dental care improvements

Regardless of age, you should always be brushing and flossing twice a day, as an important safeguard for maintaining oral health. But there’s more to ongoing dental care than we typically are aware of. The following expert advice from the American Dental Association gives excellent guidelines to help maintain good oral health:

  • Brush twice daily using a toothbrush with soft bristles to protect your gums and remember to use a quality toothpaste with fluoride.
  • Preferred is a quality electric toothbrush model, as suggested by your dentist
  • Try to clean between your teeth twice a day with either floss or another type of cleaning tool.
  • Rinse your mouth with an antibacterial mouthwash at least once a day.
  • Denture wearers should remember to clean them on a daily basis
    • Remove your dentures from your mouth for a minimum of four hours every day, and remember to remove them at night
  • Get your Flouride
    • Since most tap water contains fluoride, it can help prevent tooth decay no matter how old you are. If you’re averse to tap water, you can also buy fluoride supplements
  • Quit smoking
    • In addition to the risk for lung cancer and heart disease, smoking increases problems with gum disease, tooth decay, and tooth loss
  • Visit Dr. Dennis Wells at Nashville Center for Aesthetic Dentistry on a regular schedule for dental check-ups, cleanings and oral exams.
  • Eat a well-balanced diet that includes vegetables and high-fiber foods.


Contact Nashville Center for Aesthetic Dentistry


Location: (Tap to open in Google Maps)

105 Powell Ct Ste 101 Nashville, TN 37027

Posted in Dental Bridges, Dental Implants, Implant Dentures

Teeth Whitening Solutions – Professional or DIY

teeth whitening NashvilleTeeth Whitening Solutions

If you are looking for a way to whiten your teeth you’ve likely found two options. You can pick up a store-bought teeth whitening system to use at home, or you can schedule a professional whitening appointment with Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells.

  1. Whitening toothpaste should be used a minimum of twice a day. They usually contain mild abrasives that remove stains from the surfaces of your teeth. They also contain polishing agents that make them work better than standard toothpaste.
  2. Teeth-whitening gels and strips are available over the counter. Gels are applied directly to your teeth and can take several days to whiten. Strips are coated with gel and are used for 60 minutes a day over three months.

Benefits of Professional Teeth Whitening Professional dentists customize whitening solutions for each individual patient and make adjustments based on each patient’s needs. They will only proceed with a whitening treatment only after an exam to determine the cause of the tooth staining. Another advantage of professional treatment is the addition of a safe environment to complete the procedure. Because each patient receives customized treatment, there is no danger of teeth being harmed by excessive whitening. Treatments take about an hour and you will leave with visibly whiter teeth. It is faster because the products we and other dentists use are much stronger than retail products.

Benefits of At-Home Whitening You can choose to whiten your teeth at home using retail products. These store-bought whitening products are primarily less expensive and relatively easy to use. The products can last for several years and can be very effective when combined with good oral health care. However, these home whitening kits take a little more time to get results, because the ingredients in these kits are not as strong as in professional use, but the cost is considerably less.

Contact Nashville Center for Aesthetic Dentistry


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105 Powell Ct Ste 101 Nashville, TN 37027

Posted in Smile services, Teeth Whitening, Tooth Whitening

Pros and Cons of metal vs. tooth-colored fillings

When you visit your dentist at Nashville Center for Aesthetic Dentistry for a toothache that requires that a hole, or decay, to be repaired the typical procedure is to drill out the remaining decay and fill the resulting hole. The material used to fill your tooth needs to be pliable during the repair tooth colored fillings Nashville TNprocess, but then extremely stable and durable as it lasts many years in your mouth. Dentists typically use either a functional but not attractive metal – made of a mixture of metals, including silver, tin, mercury, copper and zinc; or natural tooth-colored plastic composite fillings made from plastic and glass particles.

Each method has its own pros and cons to be aware of, and it ultimately depends on what option your dentist offers. Here are a few different characteristics these types of restorative options can or cannot offer:

  1. Natural-looking – The tooth-colored filling definitely blends in with your teeth and makes a better option for fixing teeth visible at the front of your mouth.
  2. Restyled Teeth – Tooth-colored material can help brighten and reshape the look of your smile while also repairing tooth defects, whereas the metal fillings cannot achieve this.
  3. Tooth Drilling – Another advantage of a tooth-colored filling is that it requires less drilling to be effective. The metal filling does not bond well with your bone and this is why dentists have to ream out a larger hole with more drilling.
  4. Durability – The metal filling is usually more durable than plastic composite fillings, which means less need for maintenance.
  5. Harder to install – The plastic resin filling provides the best appearance, but it is harder to install. The plastic composite material is sensitive to moisture, and it takes longer to match the filling color to your teeth. These fillings need to be installed in layers giving each one a long time to dry and cure.
  6. Cost Comparison – Because the process is more difficult, it is not surprising that the tooth-colored fillings are more expensive than the silver option.
  7. Aesthetics – Even if only used in molars at the back of your mouth, people can see the dark filling whenever you yawn, laugh, or talk. This is the primary reason patients choose to get tooth-colored.
  8. Waiting period – You will need to wait a few hours before eating after getting a silver filling but with a plastic composite tooth-colored filling there is no need to wait since it was already hardened.
  9. Allergic Reactions: One major concern with the silver option is that some patients can have an allergic reaction to the metal mixture used. If you are aware of an allergy to silver, you should not get this type of filling.

There are good options for tooth filling. You can choose either silver or tooth-colored fillings. Talk with your dentist to discuss these two options and determine which is right for you.

Contact Nashville Center for Aesthetic Dentistry 


Location: (Tap to open in Google Maps)

105 Powell Ct Ste 101
Nashville, TN

Posted in Cosmetic Dentistry, Smile Makeover, White Fillings

Dental Veneers – What to Expect

Dental veneers are very durable and attractive thin overlays of tooth-colored porcelain or resin, that are intended to cover the front surface of teeth for a nicer appearance. Veneers are bonded to the front of the teeth and have the capacity to change their color, shape, or length. Aesthetic Dental – Dr. Dennis J Wells in Nashville is happy to discuss your interest in veneers.

Dental Veneers Nashville

Veneers are typically manufactured from durable porcelain or composite resin materials. The porcelain version resists stains better than resin, and they also reproduce light-reflecting properties of natural teeth. A discussion with your dentist will help you decide on the best choice of veneer material for your teeth and objectives.

Why would I consider veneers?

Dental veneers are used to address some of the following issues:

  • Brighten discolored teeth either from stains or fillings
  • Cover heavily worn-down teeth
  • Repair broken or chipped teeth
  • Create more appealing shape to misaligned teeth
  • Fill gaps between teeth

How do Dental Veneers get Installed?

A standard timeline to install veneers involves three trips to your dentist – the first for a consultation and then two more to actually manufacture and install the veneers.

Visit #1 diagnosing and planning. Here is where your dentist will inspect your teeth to ensure that veneers are a viable solution for you. You also get a chance to explain what you would like your teeth to look like and any goals or objectives you have. Your dentist may also take X-rays and / or impressions of your  teeth at this time.

Visit #2 tooth preparation. Veneer preparation usually starts with reshaping the tooth surface and removing enamel the same thickness as the new veneer, and a local anesthetic may be required. After this, an impression of your tooth will be made by your dentist, which is subsequently sent out to a dental laboratory for manufacture of the veneer. Typical turnaround times are 2-4 weeks to complete and your dentist may install temporary veneers to cover any unsightly teeth.

Visit #3 the bonding process. During the final visit, your veneer/s will be temporarily fitted it onto your teeth to verify the shape and color are correct. Your dentist will start a process of trimming your new veneer and continually refitting it for the proper bond. Next, your tooth will be cleaned, polished, and etched (roughened) to facilitate a strong bonding process. Bonding cement is then applied to the veneer and installed onto your tooth. A special light beam is pointed to the dental veneer, which activates the cement to harden quickly. After final cleanup and inspection, you are ready to go home, and you may be requested to return in a couple weeks to inspect the fit and functionality.

To learn more or get started, contact us for an appointment:


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105 Powell Ct Ste 101
Nashville, TN

Posted in Uncategorized

Inlays, Filling, Onlays or Crowns?

Fillings vs. Inlays

In a sense, these are almost the same, except that the term “inlay” is typically used for very large cavities. Both solutions involve the removal of a pre-existing cavity and then filling that resulting in empty space, but the process of filling is how they ultimately differ. With a filling, the cleaned out empty space is filled with either an amalgam or composite material, and it’s a pretty quick process done in only one dental visit at Dr. Dennis Wells, of Nashville Center for Aesthetic Dentistry.

Inlays, Onlays, Crowns, Fillings

With an inlay, the drilled-out space is filled with one solid chunk of material that is designed in a dental lab, typically built with gold or ceramic. The completed inlay must precisely fit the shape and size of the empty space so that food and bacteria can’t get into space and cause more decay. One advantage of an inlay is that they do not shrink after being installed, as some fillings do, so there is less chance of failure. Inlays are a tough, durable surface for chewing, and are thought to be more reliable long term.

The major deterrent for dentists using inlays is the fact that many dental insurance policies will not pay for them. Instead, companies will try to lower the inlay to a filling category and only pay that lesser price, which someone ends up paying. Inlays are usually kept for patients with no insurance, who understand the charges and are willing to pay out of pocket.

Onlays vs. Crowns

Both dental crowns and “onlays” are used to repair very large areas of decay that fillings and inlays will not fix due to the size. The unique feature of an “onlay,” as opposed to an “inlay,” is that it can cover the cusp of a tooth, with an inlay only filling in between the cusps. The procedure is similar as the material is drilled and removed first, then an onlay is manufactured to the perfect size and shape of the empty space. Even more drastic, a crown will cover the whole tooth structure above the gum line.

An onlay is a less assertive restoration than a crown, if possible since less tooth material needs to be drilled out in order to attach it. But while the cost structure is similar, an onlay is a little cheaper than a crown. The onlay is always the favored solution when possible, as it requires less tooth loss. However, onlays are more difficult than crowns and require advanced skills from the dentist.

Again, cost becomes an issue when deciding between onlays and crowns. Similar to inlays vs. fillings, dental insurance is less likely to cover an onlay procedure. But since companies will cover a crown, because it is more widely chosen by dentists, onlays are left as a specialty procedure for more skilled dentists and patients with means to pay out of pocket for an expensive procedure.

Contact Nashville Center for Aesthetic Dentistry 


Location: (Tap to open in Google Maps)

105 Powell Ct Ste 101
Nashville, TN

Posted in Cosmetic Dentistry, Dental Crowns, Sedation Dentistry

Are There any Side Effects to Tooth Whitening?

When administered by a qualified dentist like Dr. Dennis Wells at Nashville Center for Aesthetic Dentistry, teeth whitening is generally a safe and effectual approach with very few risks. In the majority of use cases, any side effects are usually caused by misuse of the whitening agent, including attempting to over-whiten.

 The most common after-effect is temporary tooth sensitivity. You can reduce this risk by discussing your sensitivity levels with a dentist before beginning a procedure and following all aftercare instructions closely.

Possible Long-Term Risks

Although there are minimal risks with teeth whitening. However, in scarce cases, some professional-grade and over-the-counter products may cause:

  • Long-term sensitivity
  • Injury to the tooth roots
  • Dissolving of enamel
  • Patchy results
  • Injury to membranes in the mouth

Additionally, patients who chronically whiten their teeth at home without the approval of their doctor can develop serious oral health concerns. Again, this type of case would qualify as a “misuse” as we mentioned previously.

It is proven that chronic overuse of peroxide-based whitening solutions can erode tooth enamel and even cause chemical burns on the soft tissue inside the mouth. These effects are rare and are typically associated with overuse or misuse.

Short-Term Side Effects

While whitening rarely causes extended negative effects, temporary tooth sensitivity can be a common result. If you do have any discomfort following a whitening treatment, talk to your dentist about solutions.

You may be more likely to experience sensitivity if you:

  • Currently have sensitive teeth
  • Notice sensitivity after teeth cleaning
  • Feel irritation after brushing or flossing

Some dentists recommend desensitizing products to help patients with sensitive teeth after whitening. Obviously, if you experience any irritation, you should temporarily suspend any scheduled touch-up whitening treatments until directed to by your dentist.

Gum Discomfort

Another possible side effect of whitening can be gum irritation, and this may result from:

  • A defective bleaching tray
  • Breakdown of the initial protective barrier
  • Overuse and misuse of a whitening solution

How to Minimize Any Risks

Scheduling your whitening with a qualified dentist is the best way to eliminate the chance of temporary or long-term or side effects. Purchasing whitening products from your pharmacy and using them is less reliable. Some cheap brands can have seriously high levels of peroxide.

Also, these products are more likely to cause patchy results. Typical side effects of store-bought whitening products occur from the misuse of the gel solution. Always discuss with your dentist before starting teeth whitening, especially if you plan to do it yourself, to decide if you are a good candidate.

Contact Nashville Center for Aesthetic Dentistry 


Location: (Tap to open in Google Maps)

105 Powell Ct Ste 101
Nashville, TN

Posted in Aesthetic dentistry, Teeth Whitening, Tooth Whitening

Is Dental Bonding for You?

Dental Bonding to improve your smile

Nashville Center for Aesthetic Dentistry at 105 Powell Ct Ste 101, Nashville, TN 37027 offers some of the most popular procedures to revive smiles and boost confidence. Dental bonding is a procedure by which dentists can change the color, size, or shape of a tooth. This approach uses a tooth-colored resin that bonds using a curing light. The resulting bond will protect the dentin inside of the tooth from decay while enhancing the outside appearance.

Why Choose Dental Bonding?

Most patients who are considering dental bonding have issues like cracked or chipped teeth or oversized spaces between their teeth that can affect self-esteem and also contribute to oral health troubles. Bonding is also commonly used to change out old amalgam fillings and can also provide protection against infection to the root of a tooth with recessed gums. Dental bonding may also be used:

  • to fix cracked or decayed teeth
  • to alter the shape or size of teeth
  • to correct discolored teeth
  • To protect against gum recession

How the procedure works

Anesthesia is typically not necessary if the tooth shows a previous root canal or has any small modifications which don’t involve the dentin of the tooth. Here are the two primary methods of dental bonding:

  • Direct Composite Bonding – This method uses tooth-colored composite material to replace old fillings, fix cracked teeth, close spaces between teeth, and strengthen edges. This works well as a non- invasive procedure and a simple fix for cosmetic dental needs.
  • Adhesive Bonding – This bonding is used for crowns, bridges, porcelain veneers, and more involved procedures. Use it to adjust and shape to match other teeth and make sure they form a stunning smile.

Contact Nashville Center for Aesthetic Dentistry 


Location: (Tap to open in Google Maps)

105 Powell Ct Ste 101
Nashville, TN

Posted in Dental Bonding
cosmetic dentistry with a cosmetic dentist Nashville TN and Brentwood

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    • Wow what a great dentist practice. Absolutely the best. Both Dr Wells and Dr Weese are excellent and Carissa is the best. In fact everyone on their staff goes above and beyond in making my dental experience wonderful. I only wish I had found them sooner. Love the new smile. Best is the natural look.
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    • Another wonderful visit with everyone! Work mania caused me to be running late for my early morning appointment. Zee was able to reschedule me during lunch hour the same day. I was in a real crunch for time and they even made a smoothie for me so I could get immediately back to work! So wonderful and so grateful for everyone!
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    cosmetic dentist in Nashville TN

    AACD Accredited

    Dr. Wells has been an accredited member of the American Academy of Cosmetic Dentistry since 1994, and serves on the review board as an examiner for other dentists seeking their cosmetic dentistry accreditation.

    aesthetic dentistry with a Nashville dentist in Brentwood TN

    Award Winning Dentistry award for cosmetic dentistry in Nashville Tennessee and Brentwood
    • Nashville Top Dentist 2017 in Cosmetic Dentistry
    • 2008 AACD Outstanding Scientific Advancement in Cosmetic Dentistry Award
    • Selected as one of the Top Dentists in America - 2005 and 2010
    • 2001 AACD Award for Outstanding Contribution to the Art and Science of Cosmetic Dentistry
    • 2005 Entrepreneur Award
    • Crown Council Best Dentist to Work For - 2008
    Nashville Center for Aesthetic Dentistry
    Dennis J. Wells, DDS
    Daniel K. Weese, DMD

    105 Powell Ct Ste 101
    Brentwood, TN 37027
    Call: 615-371-8878
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