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Individual
DR. ERIC A COMPTON
Active
Individual
DR. ERIC A COMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008778
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12008778
STATE DENTAL LICENSE
IN
01
—
13008778B
CONTOLLED SUBSTANCE REGIS
IN
01
—
43000134A
DENTAL ANESTHESIA PERMIT
IN
01
—
BC0496972
FED CONTROLLED SUBSTANCE
IN
Enumeration date
02/28/2007
Last updated
07/08/2007
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