Provider Demographics
NPI:1205183571
Name:COMPTON, TERRA (DMD)
Entity Type:Individual
Prefix:
First Name:TERRA
Middle Name:
Last Name:COMPTON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:TERRA
Other - Middle Name:
Other - Last Name:VAUGHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:6912 CLEMSON DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-1713
Mailing Address - Country:US
Mailing Address - Phone:405-269-6522
Mailing Address - Fax:
Practice Address - Street 1:201 N ALMA DR
Practice Address - Street 2:SUITE 100
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-3337
Practice Address - Country:US
Practice Address - Phone:972-727-0737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX278351223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry