Individual
DR. GERALD DODD BRISTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3007 GREENFIELD RD, PEARL, MS 39208-8712
(601) 824-5878
Mailing address
3007 GREENFIELD RD, PEARL, MS 39208-8712
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2662
MS
Other
Enumeration date
11/28/2006
Last updated
09/02/2010
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