# GEORGE A BARE JR DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RESTORATIVE DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659732980
- **Authorized official:** DR. GEORGE A BARE JR. DMD (OWNER)
- **Authorized official phone:** (931) 648-0604

## Contact information

- **Practice address:** 237 DUNBAR CAVE RD, SUITE A, CLARKSVILLE, TN 37043-8852
- **Practice address phone:** (931) 648-0604
- **Practice address fax:** (931) 648-0605
- **Mailing address:** 237 DUNBAR CAVE RD, SUITE A, CLARKSVILLE, TN 37043-8852
- **Mailing address phone:** (931) 648-0604
- **Mailing address fax:** (931) 648-0605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS0000004646 | TN | Yes |

## Other

- **Enumeration date:** 03/15/2016
- **Last updated:** 03/15/2016