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ACKEILIA HEATRICE DDS PC
NPI 1972325306
Dentist - Pediatric Dentistry in Ellisville, MO

Active since October 28, 2024
24 KIEFER CREEK ROAD, ELLISVILLE, MO 63021(636) 333-9711(636) 218-1891 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ackeilia Heatrice Dds Pc NPPES

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

ACKEILIA HEATRICE DDS PC (NPI 1972325306), doing business as Bloomy's Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Ellisville, Missouri and active in the NPI registry since October 2024. The organization lists Ackeilia K Heatrice, Owner, as its authorized official.

NPPES Registry Identity

NPI1972325306
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameACKEILIA HEATRICE DDS PC
Location Address24 KIEFER CREEK ROADEllisville, MO 63021-6013
Mailing Address24 Kiefer Creek RoadEllisville, MO 63021-6013 · (636) 333-9711
Phone(636) 333-9711
Fax(636) 218-1891
Organization SubpartNo
Authorized OfficialAckeilia K HeatriceOwner · (636) 333-9711
Enumeration DateOctober 28, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1972325306 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 ROAD, Ellisville, MO 63021
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Other Names 1

Doing Business AsBloomy's Pediatric Dentistry

Other Identifiers 1

Medicaid400092761MO

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

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 Ackeilia Heatrice Dds PC's NPI number?

The NPI number for Ackeilia Heatrice Dds PC is 1972325306. It was assigned to this organization in the NPPES registry on October 28, 2024. The provider is doing business as Bloomy's Pediatric Dentistry.

Where is Ackeilia Heatrice Dds PC located?

Ackeilia Heatrice Dds PC is located at 24 Kiefer Creek Road, Ellisville, MO 63021. The listed phone number is (636) 333-9711.

What is Ackeilia Heatrice Dds PC'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 Ackeilia Heatrice Dds PC was last updated on October 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.