Twin Lakes Dental Pa is a Dental Clinic in Wichita, Kansas. It is located at 1901 W 21st St, Wichita, KS and its contact number is 316-832-2838. The authorized person for Twin Lakes Dental Pa is Shaun Urbanozo
who is Credentialing Manager of the clinic and their contact number is 719-323-2362.
Twin Lakes Dental Pa Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Twin Lakes Dental Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Twin Lakes Dental Pa |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1901 W 21st St, Wichita,
Kansas, 67203-2106 |
| Phone: | 316-832-2838 |
| Fax: | 316-832-9530 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Shaun Urbanozo |
| Position: | Credentialing Manager |
| Contact Number: | 719-323-2362 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Twin Lakes Dental Pa clinic are as mentioned below.
| NPI Number: | 1003027749 |
| NPI Enumeration Date: | 24 May, 2007 |
| NPI Last Update On: | 09 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Twin Lakes Dental Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | Kansas | Primary | |
| General Practice | 60387 | Kansas | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200420170B | Medicaid | Kansas | |
| 200432580A | Medicaid | Kansas | |
| 60387 | Other | Kansas | State Of Kansas |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Twin Lakes Dental Pa
2221 E Bijou St Ste 100,
Colorado Springs, Colorado |
| Zip: | 80909-8009 |
| Phone Number: | 719-955-8896 |
| Fax Number: | 719-955-3470 |
Patients can reach Twin Lakes Dental Pa at
1901 W 21st St, Wichita, Kansas or can
call to book an appointment on 316-832-2838.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.