Choosing a dentist is a decision you may live with for years. A good fit makes it easier to keep regular checkups, understand your treatment options and trust the advice you get. A poor fit can mean surprise bills, rushed visits or treatment plans you are not sure you need. This checklist walks through the decision in a practical order, whether you have just moved, changed insurance, or simply want a fresh start.
It focuses on the person: the dentist’s qualifications, approach and fit with you. For the practice side (front desk, billing, scheduling, technology and cleanliness), see our companion guide on what to look for in a dental practice.
Step 1: Decide what you need
Start with your own situation. Are you looking for routine checkups for one adult, a practice that sees the whole family, a dentist experienced with anxious patients, or someone who can manage a specific problem such as gum disease or missing teeth? Most people start with a general dentist, who provides most routine care and refers to specialists when needed. If you have children, see our comparison of pediatric and general dentists. For a specific condition, our overview of dental specialists explains who does what.
Step 2: Filter by insurance and payment
It saves time to filter by payment early. If you have insurance, confirm the dentist is in your plan’s network by checking the insurer’s directory and calling the office, because directories can be out of date. If you are uninsured, ask about cash prices, in-office membership plans and payment plans. Our guides on finding a dentist that takes your insurance, dental insurance vs. discount plans and dentists that accept Medicaid go deeper.
Step 3: Verify the license
Every practicing dentist in the US must be licensed by a state dental board. Verification takes a few minutes:
- Find your state board through the American Association of Dental Boards state list, then use that board’s license lookup to confirm the license is active and see whether any public disciplinary actions are listed.
- Look up the dentist in the CMS NPI Registry to confirm their name, practice address and listed specialty. As the registry itself notes, having an NPI does not prove someone is licensed, so use it alongside the board check.
Our step-by-step guide on how to read an NPI number and verify a dentist’s license covers this in detail.
Step 4: Consider logistics
- Location. A dentist close to home or work is easier to keep visiting.
- Hours. Early-morning, evening or weekend slots matter if you cannot leave work easily.
- Emergencies. Ask how the office handles urgent problems and after-hours calls.
- Accessibility. Check parking, transit, and accommodations for wheelchairs or other needs.
- Language. If you prefer to discuss care in a language other than English, ask whether the dentist or staff speak it.
You can browse dentists by state and city in our directory.
Step 5: Learn about the dentist’s approach
Two dentists with the same license can practice very differently. Some are conservative and prefer to monitor small problems; others treat earlier. Neither is automatically right, but you should know which style you are getting. On the phone or the website, look for:
- Which services the dentist performs and which are referred to specialists.
- How the dentist handles dental anxiety (see our dental anxiety guide).
- Whether written treatment plans with costs are provided before major work.
- Whether records and X-rays from your previous dentist can be transferred.
Step 6: Read reviews with a critical eye
Patient reviews can reveal patterns: friendliness, wait times, billing surprises. Look for consistent themes across many reviews rather than reacting to one glowing or angry comment. Remember that reviews describe experiences, not clinical quality, and that how a dentist responds to criticism can be as revealing as the criticism itself.
Step 7: Use the first visit as an interview
Your first appointment tells you a lot. A good first visit usually includes a full medical history, a thorough exam, and an explanation of findings in terms you understand. Our guide on what to expect at your first visit describes the process, and questions to ask at your first dental visit gives you a list to bring. Afterward, ask yourself:
- Did the dentist explain what they saw and why they recommend each treatment?
- Were options presented, including the option to wait or monitor?
- Did you get a clear, itemized estimate?
- Did you feel comfortable asking questions?
The ADA’s consumer guidance stresses continuity of care and keeping your dentist informed about changes in your health (MouthHealthy). That only works if you are comfortable talking openly.
Red flags
- Pressure to commit to large treatment plans on the same day without time to consider them.
- Reluctance to explain findings or show X-rays.
- No written estimate before expensive work.
- A license you cannot find, or one listed as inactive.
- Advertising claims that seem too good to be true.
If something feels off, a second opinion is normal and reasonable, especially for major or costly treatment.
For practices reading this
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Frequently asked questions
Should I choose a general dentist or a specialist?
Most people start with a general dentist, who handles routine care and refers to specialists such as orthodontists, periodontists or endodontists when needed.
How do I check that a dentist is licensed?
Use your state dental board’s license lookup, which you can find through the American Association of Dental Boards state list, and cross-check details in the CMS NPI Registry.
Is it okay to get a second opinion?
Yes. Second opinions are common, particularly for expensive or complex treatment plans.
How many dentists should I compare?
There is no fixed number, but calling two or three offices about insurance, prices and availability usually gives you enough to compare.
Photo: Andrea Piacquadio / Pexels
Sources
- ADA MouthHealthy – Common Questions About Going to the Dentist
- CMS NPPES NPI Registry
- American Association of Dental Boards – State Board Contact list
By the Dentists Reviews Editorial Team.
This is general information, not medical advice. Talk to a licensed dentist about your own situation. See our disclaimer.