Adventure Dental And Vision

LBN: Twin Lakes Dental Pa
Adventure Dental And Vision is an health care organization with primary practice located at 1901 W 21St St , Wichita KS 67203-2106. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Twin Lakes Dental Pa can be contacted via phone (316) 832-2838, or through Urbanozo, Shaun via phone (719) 323-2362.

Contact Information

Primary practice address
1901 W 21St St Wichita KS 67203-2106
Phone: (316) 832-2838
Fax: (316) 832-9530
Website:
Map and Directions
Authorized official contact:
Name: Urbanozo, Shaun
Phone: (719) 323-2362

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Kansas
Dental Providers / General Practice 1223G0001X 60387 Kansas

Profile Details

NPI number 1003027749
LBN Legal business name Twin Lakes Dental Pa
DBA Doing business as Adventure Dental And Vision
Authorized official Urbanozo, Shaun
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2007
Last updated Oct 22nd, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003027749 NPPES
Kansas MEDICAID 200420170B
Kansas MEDICAID 200432580A
Kansas Other 60387

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