Healthcare Provider Details

I. General information

NPI: 1376476416
Provider Name (Legal Business Name): DUSTIN TAYLOR KYNASTON DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 N MAPLE ST
MCPHERSON KS
67460-3325
US

IV. Provider business mailing address

700 N MAPLE ST
MCPHERSON KS
67460-3325
US

V. Phone/Fax

Practice location:
  • Phone: 620-241-5000
  • Fax:
Mailing address:
  • Phone: 620-241-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number62349
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: