18 clinics ranked by DR ScoreUpdated 0 paid placements in this rankingHow we rank →
Best overall in Fredericksburg: Implant and Periodontal Dentistry, 4.9★ from 266 Google reviews, open 4 days a week and 3 of 17 services.
Best for same-day emergencies: Nagle Shelly DDS, emergency care, open 7 days until 12 AM; ranked #2 of 18.
Best for kids and families: Ericka McBrine, DDS, pediatric dentist on staff; ranked #11 of 18.
Best for evenings and weekends: Nagle Shelly DDS, open 7 days until 12 AM; ranked #2 of 18.
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18 Fredericksburg clinics are ranked here by DR Score. 1 is open Saturdays, 2 on Sundays and 2 after 6 PM, based on posted hours. 2 list emergency care. 15 have a Google rating on file.
| Rank | Clinic | DR Score | Rating (reviews) | Evenings / weekends | Best for |
|---|---|---|---|---|---|
| 1 | Implant and Periodontal Dentistry | 68 | 4.9★ (266) | — | Overall, Implants |
| 2 | Nagle Shelly DDS | 66 | 4.7★ (6) | Evenings · Sat · Sun | Emergencies, Evenings & weekends |
| 3 | Fredericksburg Dentistry | 65 | 5.0★ (1,326) | — | — |
| 4 | Oral Surgery of Fredericksburg | 64 | 4.9★ (33) | — | — |
| 5 | Hoerster Family Dentistry- Dentist in Fredericksburg, Tx | 63 | 5.0★ (373) | — | Invisalign & braces |
| 6 | Heinrich David J DDS | 62 | 5.0★ (11) | Evenings · Sun | — |
| 7 | Family Dentistry: Stehling William DDS | 62 | 4.9★ (114) | — | — |
| 8 | Kovar Dental | 60 | 5.0★ (248) | — | — |
| 9 | Robert K. Bourquein, DDS, MS | 59 | 5.0★ (107) | — | — |
| 10 | Whitworth Family Dentistry | 58 | 5.0★ (37) | — | — |
Ordered by DR Score, a 0–100 score from 6 published factors. Scores refresh weekly.
Ranked #1 in Fredericksburg
707 S Adams St, Fredericksburg, TX 78624
Ranked #1 because of its Google rating and review volume: 4.9★ from 266 Google reviews, 266 Google reviews.
205 W Windcrest St #260, Fredericksburg, TX 78624
Ranked #2 because of its Google rating and access: 4.7★ from 6 Google reviews, open 7 days until 12 AM.
814 S Milam St, Fredericksburg, TX 78624
Ranked #3 because of its Google rating and review volume: 5.0★ from 1,326 Google reviews, the most Google reviews in Fredericksburg (1,326).
514 Friendship Ln Ste 200, Fredericksburg, TX 78624
Ranked #4 because of its Google rating and recent reviews: 4.9★ from 33 Google reviews, about 31 reviews in the last 12 months.
520 W Main St, Fredericksburg, TX 78624
Ranked #5 because of its Google rating and review volume: 5.0★ from 373 Google reviews, 373 Google reviews.
103 Llano St, Fredericksburg, TX 78624
Ranked #6 because of its Google rating and access: 5.0★ from 11 Google reviews, open evenings until 12 AM and Sundays until 12 AM, with emergency care.
510 S Adams St, Fredericksburg, TX 78624
Ranked #7 because of its Google rating and review volume: 4.9★ from 114 Google reviews, 114 Google reviews.
705 S Milam St, Fredericksburg, TX 78624
Ranked #8 because of its Google rating and review volume: 5.0★ from 248 Google reviews, 248 Google reviews.
1026 S Adams St, Fredericksburg, TX 78624
Ranked #9 because of its Google rating and review volume: 5.0★ from 107 Google reviews, 107 Google reviews.
408 N Milam St, Fredericksburg, TX 78624
Ranked #10 because of its Google rating and review volume: 5.0★ from 37 Google reviews, 37 Google reviews.
101 W Creek St, Fredericksburg, TX 78624
Ranked #11 because of its Google rating and review volume: 4.9★ from 268 Google reviews, 268 Google reviews.
408 S Adams St, Fredericksburg, TX 78624
Ranked #12 because of its Google rating and review volume: 5.0★ from 1 Google review, 1 Google review.
Based on reputation, review volume, recency, services and profile completeness.
140 Industrial Loop Ste 100, Fredericksburg, TX 78624
Ranked #13 because of its Google rating and review volume: 4.6★ from 59 Google reviews, 59 Google reviews.
404 N Milam St, Fredericksburg, TX 78624
Ranked #14 because of its Google rating and review volume: 4.7★ from 17 Google reviews, 17 Google reviews.
205 W Windcrest St #330, Fredericksburg, TX 78624
Ranked #15 because of its Google rating and review volume: 4.2★ from 5 Google reviews, 5 Google reviews.
205 N Milam St, Fredericksburg, TX 78624
Ranked #16 because of services: 2 of 17 services offered.
Based on services and profile completeness; Google ratings not yet collected.
205 W Windcrest St # 260, Fredericksburg, TX 78624
Ranked #17 because of services: 2 of 17 services offered.
Based on services and profile completeness; Google ratings not yet collected.
1026 S Adams St, Fredericksburg, TX 78624
Ranked #18 because of services: 2 of 17 services offered.
Based on access, services and profile completeness; Google ratings not yet collected.
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One pick per need, with the clinic that comes next. Every pick names the condition it wins on.
Highest-ranked of 2 Fredericksburg clinics offering emergency or same-day care: #2 overall by DR Score and open 7 days until 12 AM.
Runner-up: Heinrich David J DDS (#6 overall)
Highest-ranked of 1 Fredericksburg clinic offering kid-friendly care: pediatric dentist on staff, #11 overall by DR Score and open 5 days a week.
Implant and Periodontal Dentistry
Highest-ranked of 5 Fredericksburg clinics offering dental implants: oral surgeon on staff, #1 for implants and #1 overall by DR Score.
Runner-up: Oral Surgery of Fredericksburg (#4 overall)
Hoerster Family Dentistry- Dentist in Fredericksburg, Tx
Highest-ranked of 3 Fredericksburg clinics offering Invisalign or braces: orthodontist on staff, #1 for invisalign and #5 overall by DR Score.
Runner-up: Robert K. Bourquein, DDS, MS (#9 overall)
Highest-ranked of 1 Fredericksburg clinic offering root canals: endodontist on staff and #14 overall by DR Score.
No Fredericksburg clinic lists cosmetic dentistry in our data yet.
No Fredericksburg clinic lists dentures in our data yet.
No Fredericksburg clinic lists Medicaid or insurance in our data yet.
Typical prices before insurance, in USD. Each row names its source.
| Service | Typical price (USD) | Basis |
|---|---|---|
| General Dentistry | $98–$294 | DentistsRanked estimate from typical fees, adjusted for Texas |
| Teeth Cleaning | $74–$196 | DentistsRanked estimate from typical fees, adjusted for Texas |
| Root Canal | $686–$1,372 | DentistsRanked estimate from typical fees, adjusted for Texas |
| Tooth Extraction | $196–$686 | DentistsRanked estimate from typical fees, adjusted for Texas |
| Wisdom Teeth Removal | $196–$686 | DentistsRanked estimate from typical fees, adjusted for Texas |
| Dental Implants | $1,470–$5,880 | DentistsRanked estimate from typical fees, adjusted for Texas |
| Invisalign | $3,430–$7,350 | DentistsRanked estimate from typical fees, adjusted for Texas |
| Braces | $2,940–$6,860 | DentistsRanked estimate from typical fees, adjusted for Texas |
Clinics that list same-day or emergency care, or post Saturday, Sunday or after-6 PM hours. Severe swelling or bleeding: go to a hospital.
Mon–Fri 12 AM–12 AM · Sat closed · Sun 12 AM–12 AM
Emergency care · Evenings · Sunday
We scored 18 Fredericksburg clinics on 6 factors: reputation 45%, review volume 15%, recency 10%, access 15%, services 10%, profile completeness 5%. Data from Google listings and clinic websites, refreshed October 21, 2026.
Paid placement never changes a rank or score. Featured clinics are paid, labelled, limited to 3 and shown above the ranking, outside it.
| Factor | Weight | Computed from | In Fredericksburg data |
|---|---|---|---|
| Reputation | 45% | Bayesian-adjusted Google star rating | Measured |
| Review volume | 15% | log10(review count) against the city maximum | Measured |
| Recency | 10% | Share of reviews in the last 12 months | Measured |
| Access | 15% | Evenings, Saturday, Sunday, same-day/emergency, accepting new patients | Measured |
| Services | 10% | Services offered out of 17 | Measured |
| Profile completeness | 5% | Named dentists, years open, languages, insurance, photos | Measured |