DR. CHESTER J TYSON IV


Address: 2606 Iron Gate Dr, Suite 200, Wilmington, NC 28412-2573
Phone: 9107917380

DR. CHESTER J TYSON IV (NPI# 1003970534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003970534
Entity Type Individual
Full Name DR. CHESTER J TYSON IV
Credential DDS
Practice Address 2606 Iron Gate Dr
Suite 200
Wilmington
NC 28412-2573
Practice Telephone 9107917380
Practice Fax Number 9107918160
Mailing Telephone 9107917380
Mailing Fax Number 9107918160
Enumeration Date 2006-12-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
6504 NC Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 9003C 05

Office Location

Street Address 2606 IRON GATE DR
SUITE 200
City WILMINGTON
State NC
Zip Code 28412-2573

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497724991 Coastal Carolina Pathology, Pa Clinical Medical Laboratory 2606 Iron Gate Dr, Suite 201, Wilmington, NC 28412-2573 2006-03-16
1083886345 Skip Tyson Dds & Stephanie Heaney Dds Pa Dentist 2606 Iron Gate Dr, Suite 200, Wilmington, NC 28412-2573 2008-03-27
1033380423 Gregory L. Richardson Dds.ms.pa Exclusive Provider Organization 2606 Iron Gate Dr, Suite 101, Wilmington, NC 28412-2573 2008-03-13
1861537664 Warren C White Pathology 2606 Iron Gate Dr, Suite 201, Wilmington, NC 28412-2573 2007-02-20
1467516997 Stephanie Leigh Freccia Dentist 2606 Iron Gate Dr, Suite 200, Wilmington, NC 28412-2573 2006-12-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891357166 Alexandra Palamaru Dentist 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 2019-07-08
1447640115 Carrie Anne Emory Physician Assistant 1124 Gallery Park Blvd, #200, Wilmington, NC 28412 2015-02-02
1144639295 Christina Marie Terry Physical Therapist 7842 Champlain Dr, Wilmington, NC 28412 2014-08-03
1972889715 New Hanover House, LLC Assisted Living Facility 3915 Stedwick Court, Wilmington, NC 28412 2011-10-25
1538440672 Celine Adair Marriage & Family Therapist 9809 River Rd, Wilmington, NC 28412 2011-09-02
1033412267 American Anesthesiology of North Carolina, Pllc Anesthesiology 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 2010-12-09
1932418357 Dale Autry Pharmacist 3625 South College Road, Wilmington, NC 28412 2010-10-04
1528390762 Sheila Flynn Counselor 710 St. Andrews Dr. #18, Wilmington, NC 28412 2010-02-12
1952563686 Stephen Rolfe Wells Anesthesiology 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 2008-06-25
1396902722 Henry D Browning Iv Dentist 604 Junction Creek, Wilmington, NC 28412 2008-05-22
Find all providers in zip 28412

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740849744 Riccobene & Associates Xxx, Dds, P.a. Dentist 8203 Market St Bldg B, Wilmington, NC 28411-9389 2019-06-12
1083189609 Children's Dental Health of Delaware, LLC Dentist 3301 Lancaster Pike # 3e3f, Wilmington, DE 19805-1436 2018-10-10
1427567379 Mid-atlantic Dental Partners Delaware II Professional Associates Dentist 4201 Miller Rd, Wilmington, DE 19802-1914 2017-09-22
1013381409 Wj Partnership Dentist 8115 Market St Ste 204, Wilmington, NC 28411-8430 2015-11-23
1003109877 Jill Laurie Garrido Dentist 2000 Foulk Rd Ste C, Wilmington, DE 19810-3642 2011-05-26
1316095904 B.b. Roseman Dmd, Md L.b Jacobs Dmd Pa Dentist 708 Foulk Rd, Wilmington, DE 19803-3734 2007-01-08
1790850675 Robert Toms Kelly Dentist 1635 Doctors Cir, Wilmington, NC 28401-7405 2006-11-23
1316037799 Halley R White Dentist 8115 Market St, Suite 204, Wilmington, NC 28411-8427 2006-10-13
1699884940 Julia Dimock Dentist 3505 Converse Dr Ste 175, Wilmington, NC 28403-6174 2006-08-30
1073532248 Dimock Weinberg & Cherry Dds Pllc Dentist 3505 Converse Dr, Suite 175, Wilmington, NC 28403-6131 2006-07-19
Find all providers in WILMINGTON

Competitor

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City WILMINGTON
Zip Code 28412

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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