Individual
DR. ERIC A COMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
901 FRAN LIN PKWY, MUNSTER, IN 46321-3540
(219) 836-0460
(219) 836-1174
Mailing address
901 FRAN LIN PKWY, MUNSTER, IN 46321-3540
(219) 836-0460
(219) 836-1174
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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