Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Twin Lakes Dental PA

Organization General Practice Dentistry · NPI 1003027749

Twin Lakes Dental PA is a General Practice Dentistry in Wichita, Kansas. Licensed in Kansas. Registered with an NPI since 2007.

Licensed in
KS
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1901 W 21st St
Wichita, KS 67203-2106
Phone: (316) 832-2838
Fax: (316) 832-9530
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (KS)
General Practice Dentistry Taxonomy 1223G0001X · Licence 60387 (KS)

Record details

NPI number1003027749
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaun Urbanozo — Credentialing Manager · (719) 323-2362
Other names Adventure Dental And Vision
NPI enumeratedMay 24, 2007
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025
Mailing address2221 E Bijou St Ste 100, Colorado Springs, CO 80909-8009

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