Dr Chester J Tyson Iv, DDS - Dentist in Wilmington, NC

Dr Chester J Tyson Iv, DDS is a Dentist - Pediatric Dentistry based in Wilmington, North Carolina. Dr Chester J Tyson Iv is licensed to practice in North Carolina (license number 6504) and his current practice location is 2606 Iron Gate Dr, Suite 200, Wilmington, North Carolina. He can be reached at his office (for appointments etc.) via phone at (910) 791-7380.

NPI number for Dr Chester J Tyson Iv is 1003970534 and his current mailing address is 2606 Iron Gate Dr, Suite 200, Wilmington, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003970534.

Contact Information

Dr Chester J Tyson Iv, DDS
2606 Iron Gate Dr, Suite 200,
Wilmington, NC 28412-2573
(910) 791-7380
(910) 791-8160

Map and Direction




Healthcare Provider's Profile

Full NameDr Chester J Tyson Iv
GenderMale
SpecialityDentist - Pediatric Dentistry
Location2606 Iron Gate Dr, Wilmington, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003970534
  • Provider Enumeration Date: 12/20/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Chester J Tyson Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003970534NPI-NPPES
9003CMedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 6504 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Chester J Tyson Iv is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Chester J Tyson Iv, DDS
2606 Iron Gate Dr, Suite 200,
Wilmington, NC 28412-2573

Ph: (910) 791-7380
Dr Chester J Tyson Iv, DDS
2606 Iron Gate Dr, Suite 200,
Wilmington, NC 28412-2573

Ph: (910) 791-7380

Reviews and Comments


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