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.

Miller Family Dentistry:

Our Office Hours:                                                 

Monday and Tuesday 8am-5pm                           

Wednesday 7:30am-4:30pm                               

Thursday 2pm-7pm                                              

Belleville Family Dentistry:

Our Office Hours:                                              

Monday 9 am-6 pm                                            

Tuesday 10am to 7pm                                       

Thursday 8am-5pm                                            

Friday 8am-12pm                                                              

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


*Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Email:
Phone:  
Are you a current patient?
Best time(s) to call?

Which office location(s) would you prefer for your appointment?
Preferred day(s) of the week for an appointment?
Preferred time(s) for an appointment?
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.