Individual provider · Type 1 NPI
Gerald Dodd Brister Jr., DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Pearl, MS
Practice location
3007 Greenfield Rd
Pearl, MS 39208-8712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 2662 (MS) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
Another provider at this address
About NPI 1720154180
Gerald Dodd Brister Jr., DDS's National Provider Identifier is 1720154180, issued on Nov 28, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Pearl, MS. The record was last updated on Sep 2, 2010.