Provider Demographics
NPI:1871395798
Name:BIRD, REBEKAH (RDH)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:
Last Name:BIRD
Suffix:
Gender:
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3626 S YAMPA WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-3536
Mailing Address - Country:US
Mailing Address - Phone:720-917-8920
Mailing Address - Fax:
Practice Address - Street 1:3095 S PARKER RD STE 150
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2917
Practice Address - Country:US
Practice Address - Phone:303-755-8388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODH.002027015124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist