DR. CHESTER J TYSON IV DDS
NPI 1003970534
Dentist - Pediatric Dentistry in Wilmington, NC

Active since December 20, 2006
2606 IRON GATE DR, SUITE 200, WILMINGTON, NC 28412(910) 791-7380(910) 791-8160 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Chester J Tyson Iv Dds NPPES

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

DR. CHESTER J TYSON IV DDS (NPI 1003970534) is an individual pediatric dentistry provider in Wilmington, North Carolina, licensed in North Carolina (6504) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1003970534
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. CHESTER J TYSON IVCredential: DDS
Location Address2606 IRON GATE DR, SUITE 200Wilmington, NC 28412-2573
Mailing Address2606 Iron Gate Dr, Suite 200Wilmington, NC 28412-2573 · (910) 791-7380 · Fax (910) 791-8160
Fax(910) 791-8160
Sole ProprietorNo
Enumeration DateDecember 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1003970534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NC · 6504
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

Other Identifiers 1

Medicaid9003CNC

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.

Exclusive Provider Organization
2606 IRON GATE DR, SUITE 101
WILMINGTON, NC 28412
Dentist (Pediatric Dentistry)
2606 IRON GATE DR, SUITE 200
WILMINGTON, NC 28412
Dentist (Pediatric Dentistry)
2606 IRON GATE DR, SUITE 200
WILMINGTON, NC 28412
Clinical Medical Laboratory
2606 IRON GATE DR, SUITE 201
WILMINGTON, NC 28412
Pathology (Anatomic Pathology & Clinical Pathology)
2606 IRON GATE DR, SUITE 201
WILMINGTON, NC 28412

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 Chester Tyson's NPI number?

The NPI number for Chester Tyson is 1003970534. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Chester Tyson located?

Chester Tyson practices at 2606 Iron Gate Dr Suite 200, Wilmington, NC 28412. The listed phone number is (910) 791-7380.

What is Chester Tyson'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 Chester Tyson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.