Organization
GUST ORTHODONTICS, PA
Active
Parent organization
GUST ORTHODONTICS, PA
Other names
Gust Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUST ORTHODONTICS, PA
Authorized official
CASSANDRA WIETH (DIRECTOR OF PAYOR RELATIONS)
(620) 245-0411
Entity
Organization
Contact information
Practice address
1325 E 1ST ST, MCPHERSON, KS 67460-3601
(620) 245-0411
Mailing address
1325 E 1ST ST, MCPHERSON, KS 67460-3601
(620) 245-0411
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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