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Specialized Care in

Dental Implants & Wisdom Teeth

Oral & Maxillofacial Surgeon

Nicholas Smiley, DDS, MD

Dr. Smiley is a Tri-Cities native who is passionate about serving his hometown community and delivering outstanding patient experiences. He holds both a medical degree and a Doctor of Dental Surgery degree providing him with a comprehensive understanding of the challenges patients face and how to effectively treat these issues. He takes the time to listen to patient concerns and goals in order to develop safe, personalized treatment plans that relieve discomfort and restore smiles.

Our Treatments

Wisdom Teeth Removal

Wisdom teeth are the last set of teeth to emerge, and there is often not enough room in the jaw to accommodate them. Removal is a common procedure to improve comfort and minimize complications.

Anesthesia Services

All levels of sedation are available from local anesthetic and nitrous oxide to IV sedation and general anesthesia in order to keep you as relaxed as possible and minimize any pain.

Dental Implants

Dental implants are a safe, long-lasting tooth replacement option that provide a strong foundation to restore normal biting and chewing function as well as enhance aesthetics and reduce bone loss.

Bone Grafting

Bone grafting can improve the quality and quantity of bone available to support dental implants and other surgical procedures. Grafting material stimulates new bone growth that fuses with existing bone.

Tooth Extractions

Tooth extractions are a common procedure when teeth are severely damaged or decayed and cannot be effectively restored, or if additional room is needed to accommodate other teeth or prepare for orthodontic treatment.

Our Mission

We are committed to providing the best patient experience through genuine concern and vigilant care. Our goal is to ensure every appointment is comfortable and safe, relieves any discomfort, and provides the patient with personalized treatment that is right for them.

Real Patient Reviews

Our Patients Love Their Results

“I came to Dr. Smiley experiencing dental pain and after he completed his treatment my pain was completely alleviated. Dr. Smiley listened to my concerns and addressed everything I brought up thoroughly. If you’re looking for an oral surgeon you can trust, you want to see Dr. Smiley. He will give you an honest assessment and treatment options. You will be glad you made the decision to go to him!”


“When I saw Dr. Smiley he was able to put my dental anxiety at ease. I’ve struggled with this anxiety since childhood, but Dr. Smiley’s bedside manner made me feel comforted and safe. I knew I would be well cared for with him.”


“My daughter had to see Dr. Smiley at the age of 4 without ever having any invasive dental work done previously. His skills were truly put to the test! Dr. Smiley made her comfortable and that in turn helped me relax. I would recommend Dr. Smiley to any parent in need of an oral surgeon for their child!”


Excellence in Oral Surgery

Tri-Cities Oral & Facial Surgery

Tri-Cities Oral & Facial Surgery uses state-of-the-art technology to optimize patient care and tailor treatment to your individual needs. The practice offers a friendly, welcoming environment where you can feel comfortable asking questions and receiving treatment. Our team takes the time to listen to your concerns and explain processes in a clear, easily understood manner.

Optimal Care

State-Of-The-Art Technology


Major Insurance Plans Accepted

Patient Information

Prepare For Your Visit

Our team makes scheduling your oral surgery consultation or appointment easy. Many forms are available online for you to fill out at your convenience, and we are happy to answer any questions you may have. 

You can also access general post-operative instructions to help you better plan for surgery and recovery.      

Call Us Today

Our Location

1363 Columbia Park Trail, Suite 103,
Richland, WA 99352

Get Directions

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