Individual provider · Type 1 NPI
Tyler A. Bare, DDS
General Practice Dentistry · Boliver, MO
NPI number
1922677632
Active
Practice location
203 E Broadway St. # 125
Boliver, MO 65613
Mailing address
203 E Broadway St. PO Box 125
Boliver, MO 65613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 2021019571 (MO) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
About NPI 1922677632
Tyler A. Bare, DDS's National Provider Identifier is 1922677632, issued on Jun 18, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boliver, MO. The record was last updated on Jun 18, 2021.