BRADLEY J. MORLOCK, D.D.S.,P.C.
NPI 1710096896
Dentist - Periodontics in Lewiston, ID

Active since August 30, 2006
3323 4TH ST, LEWISTON, ID 83501(208) 743-1114(208) 743-0120 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley J. Morlock, D.d.s.,p.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY J. MORLOCK, D.D.S.,P.C. (NPI 1710096896) is a healthcare organization registered as a periodontics in Lewiston, Idaho and active in the NPI registry since August 2006. The organization lists Bradley Jay Morlock, President/director, as its authorized official.

NPPES Registry Identity

NPI1710096896
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameBRADLEY J. MORLOCK, D.D.S.,P.C.
Location Address3323 4TH STLewiston, ID 83501-4423
Mailing Address3323 4th StLewiston, ID 83501-4423 · (208) 743-1114 · Fax (208) 743-0120
Fax(208) 743-0120
Organization SubpartNo
Authorized OfficialBradley Jay MorlockPresident/director · (208) 743-1114
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1710096896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
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.
3323 4TH ST, Lewiston, ID 83501

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
3323 4TH ST
LEWISTON, ID 83501
Dentist (Periodontics)
3323 4TH ST
LEWISTON, ID 83501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley J. Morlock, D.D.S.,p.C.'s NPI number?

The NPI number for Bradley J. Morlock, D.D.S.,p.C. is 1710096896. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Bradley J. Morlock, D.D.S.,p.C. located?

Bradley J. Morlock, D.D.S.,p.C. is located at 3323 4th St, Lewiston, ID 83501. The listed phone number is (208) 743-1114.

What is Bradley J. Morlock, D.D.S.,p.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Bradley J. Morlock, D.D.S.,p.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.