| Compton Family Dentistry | |
|
215 Farrar Dr Summerville GA 30747-2014 | |
| (706) 857-4850 | |
| Not Available |
| Full Name | Compton Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 215 Farrar Dr, Summerville, Georgia |
| Authorized Official Name and Position | Richard Dennis Compton (OWNER) |
| Authorized Official Contact | 7068574850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compton Family Dentistry 215 Farrar Dr Summerville GA 30747-2014 Ph: (706) 857-4850 | Compton Family Dentistry 215 Farrar Dr Summerville GA 30747-2014 Ph: (706) 857-4850 |
| NPI Number | 1669644225 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 03/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669644225 | NPI | - | NPPES |
| 1811007099 | Medicaid | GA | |
| 1922118199 | Medicaid | GA | |
| 1942310107 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN009717 (Georgia) | Primary |
Compton Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Farrar Dr, Summerville, GA 30747 Phone: 706-506-7138 Fax: 706-857-4850 |