Campbell, Sam Blake

Campbell, Sam Blake is an individual health care provider with primary practice located at 100 S Bliss Ave , Tahlequah OK 74464-2512. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Campbell, Sam Blake can be contacted via phone (918) 458-3100.

Contact Information

Primary practice address
100 S Bliss Ave Tahlequah OK 74464-2512
Phone: (918) 458-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7184 Oklahoma

Profile Details

NPI number 1275190688
LBN Legal business name Campbell, Sam Blake
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2019
Last updated May 21st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers