San Diego's Family Friendly Pediatric Dental Practice

David M. Toppi, DMD received much of his training at the esteemed Miami Children’s Hospital and holds a specialty degree in Pediatric Dentistry from Nova Southeastern University. He has a personable chairside manner, and expertise in his field with more than 15 years of experience practicing children’s dentistry. 

Comfortable Dental Visits For Kids

For kids that have dental anxieties, Dr. Toppi’s personality is usually enough to calm them down. However, we do offer sedation options for children with severe dental anxieties. For this IV sedation, we have a licensed dental anesthesiologist that visits several times per month to accommodate your child’s needs. With IV sedation your child will have a pleasant pain-free dental experience, with all their treatment completed safely in just one appointment.

Preventing Cavities and Establishing Proper Dental Care

Preventive dentistry is key in pediatric dentistry. Dr. Toppi is proactive when it comes to children’s oral health and offers effective treatments to establish a strong foundation for your child. Our dentist explains the role sweets and sticky/crunchy snacks play when it comes to cavities.  We teach them about better choices for the health of their teeth and gums.

Dr. Toppi also helps parents find ways to turn proper brushing and flossing into quality time spent together as a family. These treatments, along with education, and the ability to get kids to appreciate the value of their smile leads to healthy teeth and confidence in the future. Our advanced hand-held imaging system is safe and easy to use with children, and our amalgam-free practice provides non-toxic tooth-colored composite fillings.

Our Lil' Smiles Dental Team

Our warm and friendly team creates an inviting atmosphere that puts kids at ease, while our underwater themed play areas provide entertainment and touch-screen video games.


I previously lived in Virginia for 10 years and have moved all over the country. I'm glad to call San Diego home. I started my dental career with Lil’ Smiles in 2011 and enjoy working up front helping parents with their children’s appointments, dental insurance, and all the other ‘ behind the scenes’ necessities. My goal is to have your experience at Lil’ Smiles be as smooth as possible - from the first phone call to schedule a check-up to checking out afterward.  I really enjoy working with children & their families. In my spare time, I like going to the beach, playing tennis, traveling, and spending time with my family & friends.


I started my career as a Registered Dental Assistant at Lil’ Smiles in 2012, and really enjoy working in the pediatric dental field. From a young age I was taught the importance of taking care of my teeth and oral health. I find a lot of satisfaction in being able to pass on that same knowledge to other kids, so that they can learn how to take care of their teeth and see the benefits of good diet and oral hygiene. I am a native to San Diego and love being outdoors in this beautiful city. I'm also bilingual in French, and have had the opportunity to visit many wonderful places in the world where French is spoken.


I myself experienced many different dental procedures as a child, so I know the gentle touch required in order for a child to have a positive dental experience . Because of that, I became very interested in working in the dental field. I received my Registered Dental Assistant license in 2011, where I started my career at Lil’ Smiles. Specializing in Pediatric Dentistry has been a unique and fulfilling experience. I find it rewarding helping our youngest patient overcome any fears or anxieties about the dental visit.  I find great satisfaction seeing them walk away care-free and happy! When I'm not at work I enjoy traveling, nature, and learning languages.


I have 30 years of experience as an office manager. I take pride in building lasting relationships and being able to help parents with their children’s appointments, dental insurance, and financial options. My husband is a dental hygienist and we have 2 children and 9 grandchildren. I enjoy spending time with them as well as my 2 dogs, Augie & Rory.

Between the gentle and compassionate care they receive and the environment we offer, it’s no wonder our young patients love to visit with Dr. Toppi. We also provide complimentary hot coffee and tea for our parents. Lil’ Smiles Cafe ‘Perks’, as we call it, is located in our lobby for your convenience.

A Simple Digital Workflow for Your Convenience

Our office is green. Forms are emailed before your child’s visit and submitted online. Check-in is also digital, with our easy to use iPad app. We work with all PPO insurance companies and accept all major credit cards, checks, and cash. We offer a 5% discount for all cash payments. English, Spanish, and French are spoken in our office.




Directions to Our San Diego Children’s Dentist

  • We are conveniently located in central San Diego, near Qualcomm Stadium/SDCCU). Exit Friars Road East off the 15 freeway.
  • Take the first right on Rancho Mission Rd, and we are at the bottom of the hill. 
  • We are also easily accessible from the 8 freeway.


Lil' Smiles-David M. Toppi D.M.D Inc. provides children’s dental care for Mission Valley and all San Diego communities.


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