Ackeilia Heatrice Dds Pc

LBN: Ackeilia Heatrice Dds Pc
Ackeilia Heatrice Dds Pc is an health care organization with primary practice located at 24 Kiefer Creek Road , Ellisville MO 63021-6013. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Ackeilia Heatrice Dds Pc can be contacted via phone (636) 333-9711, or through Heatrice, Ackeilia K via phone (636) 333-9711.

Contact Information

Primary practice address
24 Kiefer Creek Road Ellisville MO 63021-6013
Phone: (636) 333-9711
Fax: (636) 218-1891
Website:
Map and Directions
Authorized official contact:
Name: Heatrice, Ackeilia K Doctor of Dental Surgery (DDS)
Phone: (636) 333-9711

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1972325306
LBN Legal business name Ackeilia Heatrice Dds Pc
DBA Doing business as
Authorized official Heatrice, Ackeilia K Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2024
Last updated Oct 28th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972325306 NPPES
Missouri MEDICAID 400092761

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