NPI 1003027749

Twin Lakes Dental PA

Organisation General Practice Dentistry Wichita, KS

Practice location

Address: 1901 W 21st St, Wichita, KS 67203-2106
Phone: (316) 832-2838
Fax: (316) 832-9530
Mailing address: 2221 E Bijou St STE 100, Colorado Springs, CO 80909-8009

Authorised official

Name: Shaun Urbanozo
Title: Credentialing Manager
Phone: (719) 323-2362

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

Other Dentist providers in Kansas →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 60387 (KS)

Registry record

NPI: 1003027749
Entity type: Organization
NPI issued: 24 May 2007
Record last updated: 9 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.