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SKIP TYSON DDS & STEPHANIE HEANEY DDS PA
NPI 1083886345
Dentist - Pediatric Dentistry in Wilmington, NC

Active since March 27, 2008
2606 IRON GATE DR, SUITE 200, WILMINGTON, NC 28412(910) 791-7380 Get Directions Write a Review

NPPES record last updated: March 27, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Skip Tyson Dds & Stephanie Heaney Dds Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SKIP TYSON DDS & STEPHANIE HEANEY DDS PA (NPI 1083886345) is a healthcare organization registered as a pediatric dentistry in Wilmington, North Carolina and active in the NPI registry since March 2008. The organization lists Stephanie Heaney, Owner, as its authorized official.

NPPES Registry Identity

NPI1083886345
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSKIP TYSON DDS & STEPHANIE HEANEY DDS PA
Location Address2606 IRON GATE DR, SUITE 200Wilmington, NC 28412-2573
Mailing Address2606 Iron Gate Dr, Suite 200Wilmington, NC 28412-2573 · (910) 791-7380
Phone(910) 791-7380
Organization SubpartNo
Authorized OfficialStephanie HeaneyOwner · (910) 791-7380
Enumeration DateMarch 27, 2008
✔ NPI 1083886345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in NC · 6504✔ Licensed in NC · 7278
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2606 IRON GATE DR, Wilmington, NC 28412
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Other Identifiers 2

Medicaid89903CNC
Other9003CNC · Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHESTER J TYSON IV DDS
Dentist (Pediatric Dentistry)
2606 IRON GATE DR, SUITE 200
WILMINGTON, NC 28412
New Hanover County (910) 791-7380
GREGORY L. RICHARDSON DDS.MS.PA
Exclusive Provider Organization
2606 IRON GATE DR, SUITE 101
WILMINGTON, NC 28412
New Hanover County (910) 452-7988
DR. STEPHANIE LEIGH HEANEY D.D.S.
Dentist (Pediatric Dentistry)
2606 IRON GATE DR, SUITE 200
WILMINGTON, NC 28412
New Hanover County (910) 791-7380
COASTAL CAROLINA PATHOLOGY, PA
Clinical Medical Laboratory
2606 IRON GATE DR, SUITE 201
WILMINGTON, NC 28412
New Hanover County (910) 395-4441
DR. WARREN C WHITE M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2606 IRON GATE DR, SUITE 201
WILMINGTON, NC 28412
New Hanover County (910) 395-4441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Skip Tyson Dds & Stephanie Heaney Dds PA's NPI number?

The NPI number for Skip Tyson Dds & Stephanie Heaney Dds PA is 1083886345. It was assigned to this organization in the NPPES registry on March 27, 2008.

Where is Skip Tyson Dds & Stephanie Heaney Dds PA located?

Skip Tyson Dds & Stephanie Heaney Dds PA is located at 2606 Iron Gate Dr Suite 200, Wilmington, NC 28412. The listed phone number is (910) 791-7380.

What is Skip Tyson Dds & Stephanie Heaney Dds PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Skip Tyson Dds & Stephanie Heaney Dds PA was last updated on March 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.