George a Bare Jr DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS0000004646 Issued in TN

Legal business name

GEORGE A BARE JR DMD PLLC

Practice address

237 Dunbar Cave Rd
Suite a
Clarksville, TN 37043-8852

Phone

(931) 648-0604

Fax

(931) 648-0605

NPI assigned

Mar 15, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George A Bare Jr., DMDNPI 1033204433

Title

Owner

Phone

(931) 648-0604

Specialties & licenses 1

Addresses

Other names 1

• RESTORATIVE DENTAL Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Anthony Bare Jr., DMD

  • General Practice Dentistry
  • Clarksville, TN
  • NPI 1033204433
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1659732980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 DUNBAR CAVE RD",
            "address_2": "SUITE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438852",
            "telephone_number": "931-648-0604",
            "fax_number": "931-648-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 DUNBAR CAVE RD",
            "address_2": "SUITE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438852",
            "telephone_number": "931-648-0604",
            "fax_number": "931-648-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE A BARE JR DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "BARE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-648-0604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000004646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RESTORATIVE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Samuel Isaac Gentry, D.D.S., M.S.
• George I. Kurita Jr MD PC
• George L Eckles MD
• Karen H George, PHARM D
• Mary Margaret George, D.D.S.
• Kirollos Gerges, DDS

• General Practice Dentistry in Clarksville, TN
• Providers in Clarksville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.