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Individual

DR. FORREST RUSSELL GEARHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
149 S MAIN ST, ADAMS, WI 53910-9803
(608) 339-6613
(608) 339-3936
Mailing address
PO BOX 370, ADAMS, WI 53910-0370
(907) 978-4829
(608) 339-3936

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001173
WI
1223G0001X
General Practice Dentistry
D-4374
ID

Other

Enumeration date
09/16/2011
Last updated
08/27/2025
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