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TWIN LAKES DENTAL PA
NPI 1003027749
Dentist - General Practice in Wichita, KS

Active since May 24, 2007
1901 W 21ST ST, WICHITA, KS 67203(316) 832-2838(316) 832-9530 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 9, 2025, Oct 22, 2019, Mar 30, 2018 (3 updates tracked since 2018).

About Twin Lakes Dental Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TWIN LAKES DENTAL PA (NPI 1003027749), doing business as Adventure Dental And Vision, is a healthcare organization registered as a general practice in Wichita, Kansas and active in the NPI registry since May 2007. The organization lists Shaun Urbanozo, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1003027749
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTWIN LAKES DENTAL PA
Location Address1901 W 21ST STWichita, KS 67203-2106
Mailing Address2221 E Bijou St Ste 100Colorado Springs, CO 80909-8009 · (719) 955-8896 · Fax (719) 955-3470
Phone(316) 832-2838
Fax(316) 832-9530
Organization SubpartNo
Authorized OfficialShaun UrbanozoCredentialing Manager · (719) 323-2362
Enumeration DateMay 24, 2007
Last NPPES UpdateSeptember 9, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1003027749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KS · 60387
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1901 W 21ST ST, Wichita, KS 67203
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Other Names 1

Doing Business AsAdventure Dental And Vision

Other Identifiers 3

Medicaid200420170BKS
Medicaid200432580AKS
Other60387KS · State Of Kansas

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Frequently Asked Questions

What is TWIN LAKES DENTAL PA's NPI number?

The NPI number assigned to this healthcare provider is 1003027749, enumerated as an "organization" on May 24, 2007.

Where is the provider located?

The provider is located at 1901 W 21ST ST WICHITA, KS 67203 and the phone number is (316) 832-2838.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

What insurance does TWIN LAKES DENTAL PA accept?

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.