Individual
GEORGE ANTHONY BARE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
237 DUNBAR CAVE RD STE A, CLARKSVILLE, TN 37043-8852
(931) 648-0604
Mailing address
113 SOUTHAMPTON CT, GOODLETTSVILLE, TN 37072-2134
(615) 618-0374
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS4646
TN
332B00000X
Durable Medical Equipment & Medical Supplies
DS4646
TN
Other
Enumeration date
10/03/2006
Last updated
08/05/2022
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