| Bloomy's Laser Dentistry | |
|
24 Kiefer Creek Rd Ellisville MO 63021-6013 | |
| (636) 333-9711 | |
| Not Available |
| Full Name | Bloomy's Laser Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 24 Kiefer Creek Rd, Ellisville, Missouri |
| Authorized Official Name and Position | Ackeilia Heatrice (OWNER) |
| Authorized Official Contact | 6363339711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomy's Laser Dentistry 24 Kiefer Creek Rd Ellisville MO 63021-6013 Ph: (636) 333-9711 | Bloomy's Laser Dentistry 24 Kiefer Creek Rd Ellisville MO 63021-6013 Ph: (636) 333-9711 |
| NPI Number | 1851214324 |
|---|---|
| Provider Enumeration Date | 08/03/2026 |
| Last Update Date | 08/03/2026 |
| Certification Date | 08/02/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851214324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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