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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BLOOMY'S LASER DENTISTRY
NPI 1851214324
Dentist - Pediatric Dentistry in Ellisville, MO

Active since August 03, 2026
24 KIEFER CREEK RD, ELLISVILLE, MO 63021(636) 333-9711 Get Directions Write a Review

NPPES record added: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Bloomy's Laser Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOOMY'S LASER DENTISTRY (NPI 1851214324) is a healthcare organization registered as a pediatric dentistry in Ellisville, Missouri and active in the NPI registry since August 2026. The organization lists Ackeilia Heatrice, Owner, as its authorized official.

NPPES Registry Identity

NPI1851214324
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBLOOMY'S LASER DENTISTRY
Location Address24 KIEFER CREEK RDEllisville, MO 63021-6013
Mailing Address24 Kiefer Creek RdEllisville, MO 63021-6013 · (636) 333-9711
Phone(636) 333-9711
Organization SubpartNo
Authorized OfficialAckeilia HeatriceOwner · (636) 333-9711
Enumeration DateAugust 3, 2026
NPPES CertifiedAugust 2, 2026
✔ NPI 1851214324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
24 KIEFER CREEK RD, Ellisville, MO 63021
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ACKEILIA K HEATRICE DDS
Dentist (Pediatric Dentistry)
24 KIEFER CREEK RD
ELLISVILLE, MO 63021
St. Louis County (314) 367-7848

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bloomy's Laser Dentistry's NPI number?

The NPI number for Bloomy's Laser Dentistry is 1851214324. It was assigned to this organization in the NPPES registry on August 3, 2026.

Where is Bloomy's Laser Dentistry located?

Bloomy's Laser Dentistry is located at 24 Kiefer Creek Rd, Ellisville, MO 63021. The listed phone number is (636) 333-9711.

What is Bloomy's Laser Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Bloomy's Laser Dentistry was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.