# TREEHOUSE KIDS DENTIST

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

## Provider details

- **NPI number:** 1376105361
- **Authorized official:** DR. ERIN NICOLE ESTEP DMD (PEDIATRIC DENTIST)
- **Authorized official phone:** (541) 264-0211

## Contact information

- **Practice address:** 1611 J ST, SPRINGFIELD, OR 97477-4252
- **Practice address phone:** (541) 515-6631
- **Mailing address:** 3960 STERLING WOODS DR, EUGENE, OR 97408-7209
- **Mailing address phone:** (541) 264-0211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2019
- **Last updated:** 07/01/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1811204233 | — | OR |