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General NPI Number Information
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NPI Number | 1790293454
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Entity Type | Organization
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Legal Business Name | TREEHOUSE DENTAL INC
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Dates
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Enumeration Date | 01/16/2018
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 11055 ALPINE HWY. STE. 1
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City | HIGHLAND
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State | UT
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Zip | 84003-8924
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Country | US
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Telephone | 801-756-2273
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Fax | 801-208-0535
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Provider Business Mailing Address
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Address Line | 11055 ALPINE HWY. STE. 1
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City | HIGHLAND
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State | UT
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Zip | 84003-8924
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Country | US
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Telephone | 801-756-2273
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Fax | 801-208-0535
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ELIZA D COLLINS
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Credential |
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Telephone | 801-756-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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