Healthcare Provider Details

I. General information

NPI: 1962598201
Provider Name (Legal Business Name): CHRISTOPHER ADAM COMPTON DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5413 WATERGRASS DR
WILMINGTON NC
28412-7803
US

IV. Provider business mailing address

5413 WATERGRASS DR
WILMINGTON NC
28412-7803
US

V. Phone/Fax

Practice location:
  • Phone: 910-765-3065
  • Fax: 910-795-4478
Mailing address:
  • Phone: 910-765-3065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14135
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number12009279
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: