Individual provider · Type 1 NPI

Tyson Chung, DDS

Periodontics · Nellis Afb, NV

NPI number 1861702557 Active

Practice location

4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDDS101101 (CA)
Periodontics Primary 1223P0300XDDS101101 (CA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1861702557

Tyson Chung, DDS's National Provider Identifier is 1861702557, issued on Oct 14, 2010. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Nellis Afb, NV. The record was last updated on Jul 7, 2026.