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James B Nelson, DDS - Advanced Smile Design

3.8 (9 reviews)
Closed • 7:30 am - 4:00 pm

Services - James B Nelson, DDS - Advanced Smile Design

Cavity treatment

Dental exams

Teeth cleaning

1 More Service

Tooth filling replacement or repair

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Aspen Dental - McMinnville, OR

Aspen Dental - McMinnville, OR

2.0
(29 reviews)
0.9 mi

My experience at Aspen Dental was deeply unsettling and unprofessional from start to finish. I…read moreinitially felt encouraged when the dentist entered, but communication quickly became difficult. There was no meaningful discussion of my dental history, and I struggled to follow what was being said. Only two questions were directed to me; the rest felt like commentary at me rather than a conversation with me. During the exam, the dentist stated that one of my teeth needed to be removed and possibly treated with a root canal. It soon became clear she was referring to my front tooth, which I had already repaired last summer after an injury. Once I explained this, she abruptly changed her assessment and said it was healing. That sudden contradiction raised serious concerns about the accuracy of the exam. I then accompanied my daughter to her appointment, as we were told our consultations would be done together--something that immediately felt inappropriate. During my daughter's cleaning, the hygienist repeatedly referenced my "diseased mouth" while instructing my 19‑year‑old daughter, saying things like, "You need to floss every morning and night or you'll end up like your mom." This was humiliating, unprofessional, and completely unacceptable. When the dentist examined my daughter, she recommended extracting all four wisdom teeth, despite the fact that my daughter has had them for nearly five years with no issues, and two prior dental offices had confirmed they did not need to be removed. The eagerness to recommend extensive treatment without clear justification was alarming. The consultation process was equally concerning. None of the clinical staff reviewed the treatment plans. Instead, a young staff member--who appeared unfamiliar with how to properly explain procedures or insurance coverage--presented the plans. My estimated out‑of‑pocket cost was over $11,000, with insurance covering only $2,000. After briefly speaking with a hygienist, a few items were removed, bringing it down to $10,000. My daughter's proposed treatment exceeded $6,000, despite her having had only two cavities in her entire life. When I asked basic questions--what insurance covered, why certain procedures weren't covered, or whether I could proceed only with insurance‑approved care--I received vague, unclear answers. I was repeatedly told this was "necessary treatment" and that my "disease" would worsen without it. The use of fear and shame to pressure acceptance of costly treatment felt predatory. This experience was especially upsetting because I had called three times beforehand to confirm I would be receiving a routine new‑patient cleaning and establishing care. I had no prior concerns before switching providers due solely to an insurance change. After leaving, I contacted my former dental office. They did recommend some work, but nothing remotely close to what Aspen Dental proposed, and she confirmed that most of the legitimate treatment would be covered by insurance. This was, without question, the worst dental experience I have ever had. Based on my experience, Aspen Dental appears to prioritize profit over patient care, education, and ethics. I will absolutely be sharing this experience so others can make informed decisions.

This is my first ever time leaving a yelp review and if I could rate 0 stars I would. I had to get…read moremy wisdom teeth removed and it ended up being the worst medical experience of my life. It all began with the quote they gave me, four wisdom teeth had to be taken out and I had a few cavities that needed to be taken care of as well. It ended up being 6 grand total before my insurance covered half of it. They had gone over a "payment plan" with me and I left with an immediately maxed out credit card they had issued me with an insanely high interest rate because I could only afford a couple hundred dollars a month. On top of that the process for making my payments every month is extremely difficult and not user friendly at all. Finances aside I had gone in for my first few appointments for my cavities and had noticed all the dental equipment looked really outdated/rusted but hey I'm 21 years old and hadn't been to a dentist in years so I overlooked it and tried to not worry about it. Going in for my wisdom tooth removal I was expecting a call a day or two before on how to prepare for the surgery and complete sedation, a call that never arrived. I had to do my own research on how to prep for this because I've never had surgery before. I had gone in for my surgery very nervous and was met with the front desk lady immediately getting frustrated with me that I had driven myself. When I had explained to her that my ride home couldn't be there until I needed to be picked up due to an emergency that came up, the lady had gotten quite mad at me and told me it was basic surgery protocol to have my ride in the office before we could start. I understand having to follow protocol but wished I was informed of this the day before rather than right before I went in. At this point I'm sobbing in the lobby trying to get someone there before I lost my appointment. The entire office was ignoring that this was happening and treating me like I was throwing a tantrum rather than experiencing a full blown anxiety attack. When I had a ride lined up I was taken back to the room where I was going to be put under, still sobbing btw because I wasn't comfortable getting surgery in an office that wasn't treating me like a human being. After a few minutes the same front desk lady had came back to inform the surgeon that my dad was in the office, he wasn't, my dad lives 10 hours away from me and the man they were referring to was my aunt by marriages father who had to be called in last minute due to the negligence of the front desk. As they were prepping me the oral surgeon had informed me they were going to leave a part of my tooth in "and it probably won't cause any problems down the line" this was told to me probably less than a minute before they had put my iv in to fully sedate me. In terms of the actual surgery healing I'll give credit where credit is due because I healed up great, or so I thought until recently I had started to feel the LEFT OVER TOOTH PIECE COMING IN THROUGH MY GUMS. So now I'm left with a fully maxed out medical credit card with 3 grand of high interest debt and a tooth piece still left in there that I'm hoping I don't have to have removed by aspen dental because I never want to step foot in that office again. Matter of fact I will never step foot in the Panda Express it's attached to either. As a young person who hadn't gone to the dentist in years due to not having the money for it/being scared of the dentist in general this experience has just confirmed all of my prior fears. Moral of the story is if a dentist is charging you an egregious amount of money to have oral surgery in an office attached to a Panda Express, RUN. If I had the money I'd be suing but I don't so here I am writing this yelp review hoping someone will see it and go elsewhere. I hope this establishment fails and the front desk lady gets a new job where she's not allowed to interact with people.

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Aspen Dental - McMinnville, OR
Aspen Dental - McMinnville, OR
Aspen Dental - McMinnville, OR

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James B Nelson, DDS - Advanced Smile Design - generaldentistry - Updated July 2026

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