| Skip Tyson Dds & Stephanie Heaney Dds Pa | |
|
2606 Iron Gate Dr Suite 200 Wilmington NC 28412-2573 | |
| (910) 791-7380 | |
| Not Available |
| Full Name | Skip Tyson Dds & Stephanie Heaney Dds Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2606 Iron Gate Dr, Wilmington, North Carolina |
| Authorized Official Name and Position | Stephanie Heaney (OWNER) |
| Authorized Official Contact | 9107917380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skip Tyson Dds & Stephanie Heaney Dds Pa 2606 Iron Gate Dr Suite 200 Wilmington NC 28412-2573 Ph: (910) 791-7380 | Skip Tyson Dds & Stephanie Heaney Dds Pa 2606 Iron Gate Dr Suite 200 Wilmington NC 28412-2573 Ph: (910) 791-7380 |
| NPI Number | 1083886345 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 03/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083886345 | NPI | - | NPPES |
| 89903C | Medicaid | NC | |
| 9003C | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 6504 (North Carolina) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 7278 (North Carolina) | Secondary |
White And Johnson Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Mendenhall Dr Ste A, Wilmington, NC 28411 Phone: 910-686-1869 Fax: 910-319-6014 | |
Southeast Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 S College Rd, Wilmington, NC 28403 Phone: 910-859-7529 Fax: 910-859-7528 | |
Danielle M. Gough, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1124 Gallery Park Boulevard, Wilmington, NC 28412 Phone: 910-218-1222 Fax: 844-266-2407 | |
Richard Alan Reamer Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 736 Medical Center Drive, Suite #101, Wilmington, NC 28401 Phone: 910-762-0355 Fax: 910-342-9211 | |
Picklesimer & Plasky, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4713 College Acres Dr, Wilmington, NC 28403 Phone: 910-799-2238 Fax: 910-392-3414 | |
Douglas L. Fowler, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2520 N College Rd, Wilmington, NC 28405 Phone: 910-790-3836 Fax: 910-790-5026 | |
Wilmington Comprehensive & Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1624 Princess St, Wilmington, NC 28401 Phone: 910-251-8174 Fax: 910-341-3037 |