Provider Demographics
NPI:1861159204
Name:MIDDLE TN SNORE & SLEEP APNEA SOLUTIONS, PLLC
Entity type:Organization
Organization Name:MIDDLE TN SNORE & SLEEP APNEA SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST / MEMBER / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BARE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:615-618-0374
Mailing Address - Street 1:113 SOUTHAMPTON CT
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-2134
Mailing Address - Country:US
Mailing Address - Phone:615-618-0374
Mailing Address - Fax:
Practice Address - Street 1:313A BLUEBIRD DR
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-2303
Practice Address - Country:US
Practice Address - Phone:615-239-8494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No122300000XDental ProvidersDentistGroup - Multi-Specialty