Healthcare Provider Details

I. General information

NPI: 1205740321
Provider Name (Legal Business Name): REBEKAH ANN MORRIS RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 LAWS AVE
UKIAH CA
95482-6540
US

IV. Provider business mailing address

1301 SIRAH CT
UKIAH CA
95482-3228
US

V. Phone/Fax

Practice location:
  • Phone: 707-468-1010
  • Fax:
Mailing address:
  • Phone: 707-972-6968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number35763
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: