Individual
SAMUEL CAMPBELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12007499A
IN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12007499A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000244574
BLUE SHIELD ID
IN
Enumeration date
02/03/2006
Last updated
07/13/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up