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(317) 872-9939
(317) 872-9939

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Medical History Forms


To save time, here are some useful forms for you to complete prior to your first visit at Kesler Family Dentistry.

Medical History Form Download Here

We appreciate your consideration of Kesler Family Dentistry for all of your family dental needs. From fillings to oral surgery, we can provide the cosmetic dentistry services you need to regain your healthy smile.

If you have any questions, comments, or simply desire to obtain additional information regarding our services and what we can do for you, please complete the form below. One of our friendly and dedicated team members will be more than happy to assist you with the information you’re looking for.

You are also free to call us at 317-872-9939. For your convenience, emergency service is available. Your satisfaction is fully guaranteed!

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Phone Numbers

additional: (317) 872-9946

Business Hours

Mon: 08:00 AM - 05:00 PM
Tue: 08:00 AM - 05:00 PM
Wed: 08:00 AM - 05:00 PM
Thu: 08:00 AM - 05:00 PM
Fri: 08:00 AM - 01:00 PM
Sat: Closed
Sun: Closed

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  • Address

    1619 W 86th St
    Indianapolis, IN 46260

    Languages Spoken

    • English
    • Spanish
    Most Insurance Plans Accepted
    Financing Available