Provider Demographics
NPI:1801235189
Name:COMPTON, ANNE ASHLEY (DDS)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:ASHLEY
Last Name:COMPTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 N. LAKE SHORE DR.
Mailing Address - Street 2:APT 511
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610
Mailing Address - Country:US
Mailing Address - Phone:919-624-2067
Mailing Address - Fax:
Practice Address - Street 1:80 W HILLCREST BLVD STE 212
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60195-3111
Practice Address - Country:US
Practice Address - Phone:919-624-2067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401414083122300000X
IL0210027871223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0401414083OtherLICENSE