Organization
COMPTON FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DENNIS COMPTON DDS (OWNER)
(706) 857-4850
Entity
Organization
Contact information
Practice address
215 FARRAR DR, SUMMERVILLE, GA 30747-2014
(706) 857-4850
Mailing address
215 FARRAR DR, SUMMERVILLE, GA 30747-2014
(706) 857-4850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN009717
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811007099
—
GA
05
—
1922118199
—
GA
05
—
1942310107
—
GA
Enumeration date
03/24/2008
Last updated
03/24/2008
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