Provider Demographics
NPI:1538267711
Name:GEARHART, HERBERT D (DDS)
Entity type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:D
Last Name:GEARHART
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1317 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-7503
Mailing Address - Country:US
Mailing Address - Phone:970-241-2430
Mailing Address - Fax:970-248-5432
Practice Address - Street 1:1317 N 3RD ST
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-7503
Practice Address - Country:US
Practice Address - Phone:970-241-2430
Practice Address - Fax:970-248-5432
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3581223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics