Individual
DR. ACKEILIA K HEATRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
24 KIEFER CREEK RD, ELLISVILLE, MO 63021-6013
(314) 367-7848
Mailing address
24 KIEFER CREEK RD, ELLISVILLE, MO 63021-6013
(636) 333-9711
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
056027-1
NY
1223P0221X
Pediatric Dentistry
Primary
2020013343
MO
Other
Enumeration date
06/12/2009
Last updated
08/11/2025
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