Individual
SAMUEL CAMPBELL JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8240 NAAB ZAL, STE 355, INDEANAPOLIS, IN 46260
(317) 876-1095
(317) 875-7275
Mailing address
7532 SAUTERNE CT, INDEANAPOLIS, IN 46278
(317) 872-5282
(317) 875-7275
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
09/11/2025
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