IndividualActive
Chester Tyson, DDS
NPI 1003970534 · Pediatric Dentistry · Wilmington, NC
Provider details
- NPI number
- 1003970534
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 6504 (NC)
Practice location
2606 Iron Gate Dr
Suite 200
Wilmington, NC 28412-2573
Phone: (910) 791-7380
Fax: (910) 791-8160
Mailing address
2606 Iron Gate Dr
Wilmington, NC 28412-2573
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.