Gerald Dodd Brister in Pearl - Orthodontics And Dentofacial Orthopedics

Gerald Dodd Brister - NPI 1720154180

Gerald Dodd Brister is a Orthodontics And Dentofacial Orthopedics in Pearl, Mississippi. Gerald Dodd Brister practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Gerald Dodd Brister is 1720154180. The last update date is 2010-09-02.

Gerald Dodd Brister's current location address is 3007 Greenfield Rd, Pearl, Mississippi. You can contact this provider via phone number 6018245878. The mailing address for Gerald Dodd Brister is 3007 Greenfield Rd, Pearl, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Gerald Dodd Brister
Address 3007 Greenfield Rd, Pearl, Mississippi
Phone Number 6018245878
Fax Number
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1720154180
Provider Enumeration Date 2006-11-28
Last Updated Date 2010-09-02

Provider Mailing Address Detail

Address 3007 Greenfield Rd
City Pearl
State Mississippi (MS)
Post Code 392088712
Phone Number 6018245878
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 2662
Definition:
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 rel

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FAQs about Gerald Dodd Brister

What is the unique 10-digit identification code assigned to Gerald Dodd Brister by the Centers for Medicare & Medicaid Services?

The Gerald Dodd Brister has been issued the NPI (National Provider Identifier) 1720154180, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Gerald Dodd Brister's facilities are situated?

The facilities of Gerald Dodd Brister are physically located at the following address: 3007 Greenfield Rd, Pearl, MS, 392088712.

What is Gerald Dodd Brister's area of expertise and its corresponding taxonomy classification?

The Gerald Dodd Brister's field of specialization is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1720154180 assigned to Gerald Dodd Brister?

The Gerald Dodd Brister was issued its 1720154180 on 2006-11-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Gerald Dodd Brister last refreshed?

The information related to the Gerald Dodd Brister, including its address, specialty, and other relevant details, was last updated on 2010-09-02.

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