Healthcare Provider Details

I. General information

NPI: 1952511578
Provider Name (Legal Business Name): ANNA CLAIRE COMPTON, D.D.S., L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 08/10/2024
Certification Date: 08/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5348 ESTATE OFFICE DR
MEMPHIS TN
38119-3635
US

IV. Provider business mailing address

9027 WINDING WAY
GERMANTOWN TN
38139-6647
US

V. Phone/Fax

Practice location:
  • Phone: 901-763-4700
  • Fax: 901-763-4794
Mailing address:
  • Phone: 901-756-7186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. ANNA CLAIRE COMPTON
Title or Position: OWNER
Credential: DDS
Phone: 901-763-4700