Samuel Campbell Jr, DDS is a
Dentist - Oral And Maxillofacial Surgery based in Indeanapolis, Indiana. Samuel Campbell Jr is licensed to practice in Indiana (license number 12007499A) and his current practice location is
8240 Naab Zal, Ste 355, Indeanapolis, Indiana. He can be reached at his office (for appointments etc.) via phone at
(317) 876-1095.
NPI number for Samuel Campbell Jr is 1700858701 and his current mailing address is 7532 Sauterne Ct, Indeanapolis, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700858701.
Healthcare Provider's Profile
| Full Name | Samuel Campbell Jr |
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| Gender | Male |
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| Speciality | Dentist - Oral And Maxillofacial Surgery |
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| Location | 8240 Naab Zal, Indeanapolis, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700858701
- Provider Enumeration Date: 02/03/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Samuel Campbell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700858701 | NPI | - | NPPES |
| 000000244574 | Other | IN | BLUE SHIELD ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 12007499A (Indiana) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12007499A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samuel Campbell Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Samuel Campbell Jr, DDS
7532 Sauterne Ct,
Indeanapolis, IN 46278
Ph: (317) 872-5282 | Samuel Campbell Jr, DDS
8240 Naab Zal, Ste 355,
Indeanapolis, IN 46260
Ph: (317) 876-1095 |
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