Healthcare Provider Details

I. General information

NPI: 1841039807
Provider Name (Legal Business Name): MORGAN ROGERS DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2024
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 7278
REDLANDS CA
92375-0278
US

IV. Provider business mailing address

PO BOX 7278
REDLANDS CA
92375-0278
US

V. Phone/Fax

Practice location:
  • Phone: 909-809-7484
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number112895
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: