Campbell, Samuel

Campbell, Samuel is an individual health care provider with primary practice located at 8240 Naab Zal Ste 355, Indeanapolis IN 46260. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Dentist is his primary health care specialty. Campbell, Samuel can be contacted via phone (317) 876-1095.

Contact Information

Primary practice address
8240 Naab Zal Ste 355 Indeanapolis IN 46260
Phone: (317) 876-1095
Fax: (317) 875-7275
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12007499A Indiana
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 12007499A Indiana

Profile Details

NPI number 1700858701
LBN Legal business name Campbell, Samuel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700858701 NPPES
Indiana Other 000000244574 BLUE SHIELD ID

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