BRADLEY J. MORLOCK, D.D.S.,P.C. (NPI# 1710096896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710096896 |
| Entity Type | Organization |
| Organization Name | BRADLEY J. MORLOCK, D.D.S.,P.C. |
| Practice Address |
3323 4th St Lewiston ID 83501-4423 |
| Practice Telephone | 2087431114 |
| Practice Fax Number | 2087430120 |
| Mailing Telephone | 2087431114 |
| Mailing Fax Number | 2087430120 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRADLEY JAY MORLOCK (PRESIDENT/DIRECTOR) |
| Authorized Official Telephone | 2087431114 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Street Address |
3323 4TH ST |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-4423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497853220 | Bradley Jay Morlock | Dentist | 3323 4th St, Lewiston, ID 83501-4423 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497853220 | Bradley Jay Morlock | Dentist | 3323 4th St, Lewiston, ID 83501-4423 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972968998 | Treasure Valley Periodontics | Dentist | 813 N Stilson Rd Ste C, Boise, ID 83703-5119 | 2015-12-17 |
| 1689077026 | Florence and Lincks and Associates | Dentist | 140 E Boise Ave Ste A, Boise, ID 83706-4374 | 2014-09-30 |
| 1588827125 | Richard E. Ferguson D.d.s.,m.s. Pa | Dentist | 813 Stilson Rd Ste C, Boise, ID 83703-5119 | 2008-07-03 |
| 1225255748 | Jason M Peterson | Dentist | 1980 1st St, Idaho Falls, ID 83401-4342 | 2007-04-18 |
| 1245310036 | Kenneth G. Sherman II | Dentist | 1228 N Cole Rd, Boise, ID 83704-8646 | 2006-10-16 |
| 1497835599 | Joel Newton | Dentist | 2064 Washington Street North, Twin Falls, ID 83301 | 2006-10-16 |
| 1700994852 | Bradley Lynn Townsend | Dentist | 6019 N. Eagle Rd., Boise, ID 83713 | 2006-08-28 |
| 1235147281 | Michael John Florence | Dentist | 140 East Boise Avenue, Boise, ID 83706 | 2006-08-04 |
| 1346224458 | Jack H Lincks | Dentist | 140 E Boise Ave, Boise, ID 83706-4373 | 2005-12-01 |
| 1194175232 | Idaho Perio Center for Dental Implants & Laser Periodontal Therapy | Dentist | 6019 N Eagle Rd, Boise, ID 83713-0997 | 2016-06-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.