OrganizationActive
Ackeilia Heatrice DDS PC
NPI 1972325306 · Pediatric Dentistry · Ellisville, MO
Provider details
- NPI number
- 1972325306
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ackeilia Heatrice, Owner(636) 333-9711
Specialties & taxonomies
Dental Providers
Practice location
24 Kiefer Creek Road
Ellisville, MO 63021-6013
Phone: (636) 333-9711
Fax: (636) 218-1891
Approximate (ZIP-level) locationGet directions
Mailing address
24 Kiefer Creek Road
Ellisville, MO 63021-6013
Other names (DBA / former)
- Doing business as
- Bloomy'S Pediatric Dentistry
Registry dates
- Enumerated
- 2024-10-28
- Last updated
- 2024-10-28
- Certified
- 2024-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.