Dr. Merneatha Bazilio DDS, FAGD
Creating Beautiful Smiles

Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.

By completing the appointment request form you consent to being contacted by our office through text messages.

We will not sell or share your personal information with any unaffiliated third parties for marketing purposes.
*Items in bold are required.
Are you a current patient?


Preferred day(s) of the week for an appointment?

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Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

Office Location

  • Indianapolis
  • 6020 E. 46th Street
  • Indianapolis, Indiana
  • 46226
  • Map & Directions
  • Call: 317-545-1044
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