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 provides 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.

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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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