Individual
DR. SAM BLAKE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3100
Mailing address
6718 E 113TH ST S, BIXBY, OK 74008-2086
(918) 207-5274
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7184
OK
1223E0200X
Endodontics
Primary
7184
OK
Other
Enumeration date
05/21/2019
Last updated
07/22/2026
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