# TWIETMEYER DENTISTRY PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TWIETMEYER DENTISTRY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558498642
- **Authorized official:** DR. STEVEN F TWIETMEYER DDS (PRESIDENT)
- **Authorized official phone:** (316) 540-3171

## Contact information

- **Practice address:** 107 N MAIN, CHENEY, KS 67025
- **Practice address phone:** (316) 540-3171
- **Practice address fax:** (316) 542-9861
- **Mailing address:** PO BOX H, CHENEY, KS 67025-0904
- **Mailing address phone:** (316) 540-3171
- **Mailing address fax:** (316) 542-9861

## Taxonomy

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

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 420708 | BLUE CROSS BLUE SHIELD | KS |
| 01 | — | 5739 | DELTA DENTAL | KS |