Individual
DR. STEPHANIE LEIGH HEANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2606 IRON GATE DR, SUITE 200, WILMINGTON, NC 28412-2573
(910) 791-7380
(910) 791-8160
Mailing address
2606 IRON GATE DR STE 200, WILMINGTON, NC 28412-2494
(910) 791-7380
(910) 791-8160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7278
NC
1223P0221X
Pediatric Dentistry
Primary
7278
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9003C
—
NC
Enumeration date
12/20/2006
Last updated
12/11/2025
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