Bradley Jay Morlock in Lewiston - Periodontics
Bradley Jay Morlock - NPI 1497853220
Bradley Jay Morlock is a Periodontics in Lewiston, Idaho. Bradley Jay Morlock practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Bradley Jay Morlock is 1497853220. The last update date is 2007-07-08.
Bradley Jay Morlock's current location address is 3323 4th St, Lewiston, Idaho. You can contact this provider via phone number 2087431114 and fax number 2087430120. The mailing address for Bradley Jay Morlock is 3323 4th St, Lewiston, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Jay Morlock |
|---|---|
| Address | 3323 4th St, Lewiston, Idaho |
| Phone Number | 2087431114 |
| Fax Number | 2087430120 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1497853220 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3323 4th St |
|---|---|
| City | Lewiston |
| State | Idaho (ID) |
| Post Code | 835014423 |
| Phone Number | 2087431114 |
| Fax Number | 2087430120 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | D2072PE |
|
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 structure |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D2072 PE | ID | DENTAL LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Bradley Jay Morlock by the Centers for Medicare & Medicaid Services (CMS)?
The Bradley Jay Morlock has been assigned the NPI (National Provider Identifier) 1497853220. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Bradley Jay Morlock's facilities are situated?
The facilities of Bradley Jay Morlock are physically located at the following address: 3323 4Th St, Lewiston, ID, 835014423.
What is Bradley Jay Morlock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bradley Jay Morlock's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.
On what date did Bradley Jay Morlock receive its 1497853220 assignment from the Centers for Medicare & Medicaid Services?
The Bradley Jay Morlock was assigned its 1497853220 on 2006-09-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Bradley Jay Morlock's details last updated?
The information pertaining to the Bradley Jay Morlock, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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