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General dentist · South Side

Smile Structure Dentistry and Braces3454 Roosevelt Ave

3454 Roosevelt Ave, San Antonio, TX 78214

4.5+ stars in 250+ reviews Opening hours below
Call (210) 572-2385 Directions Website (smilestructure.com, opens in a new tab)

Reviews

4.5+ stars in 250+ reviews

4–5 stars: 94% · 1–2 stars: 5% · 403 written reviews

Last 12 months: 18 reviews · 67% 4–5 stars (was 96%) · Replies: 49% of reviews · 9 of 22 one- and two-star

107mention friendly, welcoming staff

17mention a clean office

16mention explaining everything before doing it

Read what patients say (7 themes) ↓Write a review
  • Sedation permit (TX board)
  • Medicaid & CHIP (DentaQuest, MCNA)

What patients say

How the visit felt

16Explaining everything before doing it
10Putting nervous patients at ease
8Children who enjoy going

Staff and office

107Friendly, welcoming staff
17A clean office

Who comes here

10Being great with kids
6Spanish or other languages spoken

How we count themes

Saturday hours are uncommon

Saturday hours are less common locally: 23% of San Antonio practices with listed hours have them.

One- and two-star reviews
5%of 403 written reviews
A higher share than 67% of San Antonio practices
Middle San Antonio practice: 3%
4–5 star reviews
67%in the last 12 months, down from 96%
Share of written reviews giving 4–5 stars
Replies to reviews
49%of written reviews get a reply (9 of 22 one- and two-star)
About the same as most San Antonio practices
Middle San Antonio practice: 48%
Open Saturdays
Yesopen Saturdays
Licensed in Texas since
2011its longest-licensed confirmed dentist
Licensed more recently than 57% of San Antonio dentists we list
Middle San Antonio dentist: first licensed 2008

How we compare

Who you'll see

Dr. Adam Smith, DDS

  • Texas license active, first licensed Sep 2011
  • Dental school: University of the Pacific, 2009
  • Holds a nitrous oxide (laughing gas) permit (since 2012) and a level 1 sedation permit (most recent 2013)

NPI 1376774133 · Texas State Board of Dental Examiners, checked Sep 2026 · named on the practice's website

Children's coverage and savings plans

Insure Kids Now, the government directory, lists DentaQuest, MCNA Dental, Traditional Medicaid and United Healthcare Dental for children's dental care. Its group's website advertises membership and dental savings plans, veteran discounts and flexible payment plans.

Medicaid & CHIP (children)

DentaQuest (CHIP, Medicaid) · MCNA Dental (Medicaid) · Traditional Medicaid · United Healthcare Dental (Medicaid)

Insure Kids Now, Texas, updated Jul 2026

Ways to pay

  • Accepts payment plans (its business profile)
  • Accepts credit cards, debit cards and mobile pay (its business profile)
  • Accepts CareCredit (its website)
  • Takes cash (its website)

What they can help with

  • Sedation & nervous patients

    A confirmed dentist holds a Texas board sedation permit · Listed on its business profile · 3 pages on its website

  • Medicaid & low-cost

    Listed by Insure Kids Now for DentaQuest and MCNA Dental and Traditional Medicaid and United Healthcare Dental (Texas, updated Jul 2026) · Its website says it accepts Medicaid / CHIP

Sedation & nervous patients: how it works ShowA scale of four sedation levels from most to least awake: minimal, moderate, deep and general anesthesia.

Also listed on its website

  • Braces & Invisalign

    Named for it · Listed category: Orthodontist · 120 pages on its website

  • Veneers & cosmetic

    Listed on its business profile · 5 pages on its website · Listed category: Cosmetic dentist

  • Teeth whitening

    Listed on its business profile · Listed category: Teeth whitening service · 3 pages on its website

  • Emergency dentist

    Listed on its business profile · Listed category: Emergency dental service · 3 pages on its website

Equipment and memberships

Equipment and treatments on its website
Digital Impressions

Your review of Smile Structure Dentistry and Braces

No account needed · read by us before it goes up

Write a review

When you can go

Saturday
8:30 am–3 pm
23% of San Antonio practices open on Saturdays

Hours from its listing. Check when you call.

Getting there

3454 Roosevelt Ave
San Antonio, TX 78214
Get directions
  • Wheelchair-accessible entrance, parking and restroom
  • LGBTQ+ friendly
  • On-site parking

Its business profile

Need another dentist?

See all 441 San Antonio practices for sedation & nervous patients →

Ready to call?

Call (210) 572-2385 Other San Antonio dentists

Sources and dates

Business listing and reviews, Sep 2026 · smilestructure.com, Sep 2026 · Texas State Board of Dental Examiners, Sep 2026 · NPI registry · Insure Kids Now, updated Jul 2026

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