Dr. Chester J Tyson Iv is a Wilmington, North Carolina based Pediatric Dentist who is specialized in Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Chester J Tyson Iv is 6504 for Pediatric Dentistry in North Carolina. His current practice location is 2606 Iron Gate Dr, Suite 200, Wilmington. Patients can reach him at 910-791-7380.
Dr. Chester J Tyson Iv provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Chester J Tyson Iv speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Chester J Tyson Iv
Specialization:
Pediatric Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
2606 Iron Gate Dr, Suite 200, Wilmington, North Carolina, 28412-2573
Phone:
910-791-7380
Fax:
910-791-8160
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1003970534
NPI Enumeration Date:
20 Dec, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Chester J Tyson Iv are as mentioned below.
License Number
Specialization
State
Status
6504
Pediatric Dentistry
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Chester J Tyson Iv such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
9003C
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2606 Iron Gate Dr, Suite 200 Wilmington, North Carolina
Zip:
28412-2573
Phone Number:
910-791-7380
Fax Number:
910-791-8160
Patients can reach Dr. Chester J Tyson Iv at 2606 Iron Gate Dr, Suite 200, Wilmington, North Carolina or can call to book an appointment on 910-791-7380. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.