OrganizationActive
G. Dodd Brister, Jr., DDS, PA
NPI 1396022497 · Orthodontics and Dentofacial Orthopedics Dentistry · Pearl, MS
Provider details
- NPI number
- 1396022497
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Gerald Brister, Orthodontist(601) 824-5878
- License
- OR22292 (MS)
Specialties & taxonomies
Dental Providers
Practice location
3007 Greenfield Rd
Pearl, MS 39208-8712
Phone: (601) 824-5878
Approximate (ZIP-level) locationGet directions
Mailing address
3007 Greenfield Rd
Pearl, MS 39208-8712
Registry dates
- Enumerated
- 2011-11-03
- Last updated
- 2011-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.