# TWIETMEYER DENTISTRY PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134182686
- **Authorized official:** STEVEN F TWIETMEYER (OWNER)
- **Authorized official phone:** (316) 540-3171

## Contact information

- **Practice address:** 3920 W 31ST ST S, WICHITA, KS 67217-1112
- **Practice address phone:** (316) 942-3113
- **Mailing address:** 3920 W 31ST ST S, WICHITA, KS 67217-1112
- **Mailing address phone:** (316) 942-3113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5739 | KS | Yes |

## Other

- **Enumeration date:** 04/07/2006
- **Last updated:** 08/22/2020