George Anthony Bare JR. DMD

NPI 1033204433 - Dentist - 1223G0001X

NPI Details
NPI 1033204433
Gender Male
Enumeration Date 10/03/2006
Last Updated 07/29/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
800 WEATHERLY DR
SUITE 103-B
CLARKSVILLE TN, 37043-8957, US
Phone (931) 647-8437
Fax
Business Location
800 WEATHERLY DR
SUITE 103-B
CLARKSVILLE TN, 37043-8957, US
Phone (931) 647-8437
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Indiana
License Number 12009725B
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According to our database, George Anthony Bare JR. DMD NPI is 1033204433, taxonomy code is 1223G0001X and license number is 12009725B, license state is located at Indiana. George Anthony Bare JR. DMD physically located at 800 Weatherly Dr, Clarksville TN, 37043-8957. NPI Number George Anthony Bare JR. DMD has the Individual type.

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1033204433 NPI number is provided on an as is basis without warranty of any kind. 1033204433 is maintained by the National Plan & Provider Enumeration System. The contents of George Anthony Bare JR. DMD are for informational purposes only.