Individual
DR. JENNINGS WILSON BRISTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
573 CONCORD RD SE, STE C, SMYRNA, GA 30082-2611
(770) 435-9046
(770) 435-2464
Mailing address
573 CONCORD RD SE, STE C, SMYRNA, GA 30082-2611
(770) 435-9046
(770) 435-2464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7026
GA
Other
Enumeration date
10/31/2006
Last updated
04/30/2019
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