Individual
DR. KENT WAYNE HANSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
216 E TAYLOR ST, LYONS, KS 67554-3618
(620) 257-5021
(620) 257-5393
Mailing address
216 E TAYLOR ST, LYONS, KS 67554-3618
(620) 257-5021
(620) 257-5393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4972
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10954
EASY DENTAL
KS
01
—
5987
BLUE CROSS BLUE SHIELD
KS
Enumeration date
10/13/2005
Last updated
07/08/2007
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