# COMPTON AND BROOMHEAD DENTAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780041731
- **Authorized official:** DR. ERIC A COMPTON DDS (OWNER/DOCTOR)
- **Authorized official phone:** (219) 836-0881

## Contact information

- **Practice address:** 901 FRAN LIN PKWY, MUNSTER, IN 46321-3540
- **Practice address phone:** (219) 836-0881
- **Practice address fax:** (219) 836-1174
- **Mailing address:** 901 FRAN LIN PKWY, MUNSTER, IN 46321-3540
- **Mailing address phone:** (219) 836-0881
- **Mailing address fax:** (219) 836-1174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | XF900678 | IN | Yes |

## Other

- **Enumeration date:** 01/21/2016
- **Last updated:** 01/21/2016