Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ACKEILIA K HEATRICE, DDS
ActiveDR. ACKEILIA K HEATRICE, DDS is a Pediatric Dentistry healthcare provider located in ELLISVILLE, Missouri. NPI 1609003060 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · ELLISVILLE, MO
Registration Details
- NPI Number
- 1609003060
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2009 (17.204568366923 yrs)
- Last Updated
- Aug 11, 2025
- Licenses
-
056027-1 (NY)2020013343 (MO)
Practice Information
- Address
-
24 KIEFER CREEK RDELLISVILLE, MO, 630216013Browse MO providers · Browse ZIP 63021
- Phone
- 3143677848
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.