IndividualActive
Gerald Brister, D.D.S.
NPI 1720154180 · Orthodontics and Dentofacial Orthopedics Dentistry · Pearl, MS
Provider details
- NPI number
- 1720154180
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2662 (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
- 2006-11-28
- Last updated
- 2010-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.