Patient Forms

To become a patient at Restorative Dental, we need to certain personal information such as your name and address as well as information about your general health and your dental insurance carrier, if any.

You can make your first dental appointment faster and easier by downloading and completing our New Patient Forms before your appointment. After completing the forms, please email or fax them to our office. Alternately, you may bring them with you to your appointment. Thank you.



All of the above are PDF files. Adobe Acrobat Reader (free download) or other suitable software is required to view and print these files. If you have problems downloading or reading the files, please contact our office and we will send you copies by mail or fax.

Contact Us

Call (931) 648-0604

  • Always friendly and very good service. Clean teeth are happy teeth.
    —Gary Douty
  • So happy to find my dentist here in clarksville! They have an awesome friendly team! They treat you like family.
    —Anna Harrop
  • The staff is absolutely amazing here. They are tentative to all your needs and always make you feel right at home. Hands down best dentist I have ever had. Definitely recommend!
    —Brittany Nowak
  • Dr. Bare and his staff are excellent. They treat you with care and kindness, each and every one. I have never been to a friendlier dental office. Most importantly, the quality of treatment and attention to your dental and financial needs is simply outstanding.
    —Shane Moore
  • I have to say this is the best Dentist I have been to in Clarksville and I have been to a few while trying to find the perfect fit for my family & myself! Dr. Bare is awesome as well!
    —Kelly Kiser
Our Location
Restorative Dental
Phone: (931) 648-0604
Fax: (931) 202-9108
237 Dunbar Cave Rd Suite A
Clarksville, TN 37043
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