Kent Wayne Hanson, DDS
Individual provider Active NPI General Practice Dentistry · Lyons, KS
NPI 1154310092 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1154310092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4972 (KS)
- Practice address
- 216 E Taylor St
Lyons, KS 67554-3618 - Phone
- (620) 257-5021
- Fax
- (620) 257-5393
- NPI assigned
- Oct 13, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4972 | KS | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4972 | KS | Yes |
Addresses
Primary practice location
216 E Taylor St
Lyons, KS 67554-3618
Mailing address
216 E Taylor St
Lyons, KS 67554-3618
Phone (620) 257-5021
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5987 | Other | KS | BLUE CROSS BLUE SHIELD |
| 10954 | Other | KS | EASY DENTAL |
Other providers in Lyons, KS
- Lea Rose Eychner
- Jennifer F Froese
- Matthew Froese
- Grene Vision Group LLC
- Ashlyn Raye Hammer
- Hogan'S Pharmacy, Inc
- Hospital District No 1 of Rice Co
- Hospital District No 1 of Rice Co
- Hospital District No 1 of Rice Co
- Hospital District No 1 of Rice Co
All providers in Lyons, KS · General Practice Dentistry in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.