Provider Demographics
NPI:1598016651
Name:TREEHOUSE CHILDREN'S DENTISTRY, PLLC
Entity Type:Organization
Organization Name:TREEHOUSE CHILDREN'S DENTISTRY, PLLC
Other - Org Name:TREEHOUSE CHILDREN'S DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:830-220-5057
Mailing Address - Street 1:507 FM 2147
Mailing Address - Street 2:SUITE 205
Mailing Address - City:MARBLE FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:78654
Mailing Address - Country:US
Mailing Address - Phone:830-220-5057
Mailing Address - Fax:830-220-5061
Practice Address - Street 1:507 FM 2147
Practice Address - Street 2:SUITE 205
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654
Practice Address - Country:US
Practice Address - Phone:830-220-5057
Practice Address - Fax:830-220-5061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX217741223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty