Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY JAY MORLOCK, D.D.S.
ActiveBRADLEY JAY MORLOCK, D.D.S. is a Periodontology healthcare provider located in LEWISTON, Idaho. NPI 1497853220 is currently active in the NPPES registry. Verify at CMS.
Periodontology · LEWISTON, ID
Registration Details
- NPI Number
- 1497853220
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.924289015318 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D2072PE (ID)
Practice Information
- Address
-
3323 4TH STLEWISTON, ID, 835014423Browse ID providers · Browse ZIP 83501
- Phone
- 2087431114
- Fax
- 2087430120
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.