Organization
TWIETMEYER DENTISTRY PA
Active
Other names
TWIETMEYER DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN F TWIETMEYER DDS (PRESIDENT)
(316) 540-3171
Entity
Organization
Contact information
Practice address
107 N MAIN, CHENEY, KS 67025
(316) 540-3171
(316) 542-9861
Mailing address
PO BOX H, CHENEY, KS 67025-0904
(316) 540-3171
(316) 542-9861
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5739
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
420708
BLUE CROSS BLUE SHIELD
KS
01
—
5739
DELTA DENTAL
KS
Enumeration date
02/27/2007
Last updated
08/22/2020
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