IndividualActive
Ackeilia Heatrice, DDS
NPI 1609003060 · Pediatric Dentistry · Ellisville, MO
Provider details
- NPI number
- 1609003060
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 056027-1 (NY)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
24 Kiefer Creek Rd
Ellisville, MO 63021-6013
Phone: (314) 367-7848
Approximate (ZIP-level) locationGet directions
Mailing address
24 Kiefer Creek Rd
Ellisville, MO 63021-6013
Registry dates
- Enumerated
- 2009-06-12
- Last updated
- 2025-08-11
- Certified
- 2025-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.