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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)
(316) 283-1090
Entity
Organization

Contact information

Practice address
504 N MAIN ST, NEWTON, KS 67114-2229
(316) 283-1090
Mailing address
504 N MAIN ST, NEWTON, KS 67114-2229
(316) 283-1090

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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