Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloomy's Laser Dentistry

Organization Pediatric Dentistry · NPI 1851214324

Bloomy's Laser Dentistry is a Pediatric Dentistry in Ellisville, Missouri. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

24 Kiefer Creek Rd
Ellisville, MO 63021-6013
Phone: (636) 333-9711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1851214324
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ackeilia Heatrice — Owner · (636) 333-9711
NPI enumeratedAugust 3, 2026
Last updated in NPPESAugust 3, 2026
Certification dateAugust 2, 2026
Mailing address24 Kiefer Creek Rd, Ellisville, MO 63021-6013

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