Organization
G. DODD BRISTER, JR., DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD DODD BRISTER JR. (ORTHODONTIST)
(601) 824-5878
Entity
Organization
Contact information
Practice address
3007 GREENFIELD RD, PEARL, MS 39208-8712
(601) 824-5878
Mailing address
3007 GREENFIELD RD, PEARL, MS 39208-8712
(601) 824-5878
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
OR22292
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660332
—
MS
Enumeration date
11/03/2011
Last updated
11/03/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up