DR. SAM BLAKE CAMPBELL DDS
NPI 1275190688
Dentist - Endodontics in Tahlequah, OK
About Dr. Sam Blake Campbell Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAM BLAKE CAMPBELL DDS (NPI 1275190688) is an individual endodontics provider in Tahlequah, Oklahoma, licensed in Oklahoma (7184) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Sam Blake Campbell Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74464 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TAHLEQUAH, OK 74464
TAHLEQUAH, OK 74464
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sam Campbell's NPI number?
The NPI number for Sam Campbell is 1275190688. It was assigned to this individual provider in the NPPES registry on May 21, 2019.
Where is Sam Campbell located?
Sam Campbell practices at 100 S Bliss Ave, Tahlequah, OK 74464. The listed phone number is (918) 458-3100.
What is Sam Campbell's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.
Is Sam Campbell enrolled in Medicare?
Yes. Sam Campbell is registered in the Medicare PECOS enrollment system.
What insurance does Sam Campbell accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Sam Campbell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sam Campbell was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Sam Blake Campbell, DDS · NPI 1275190688
Endodontics provider in Tahlequah, Oklahoma. Individual provider, active in the CMS NPPES registry since May 21, 2019.
## Identity
- **NPI:** 1275190688 (Entity type: Individual)
- **Enumerated:** May 21, 2019
- **Primary specialty:** Dentist - Endodontics · taxonomy 1223E0200X
- **State license:** 7184 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 S BLISS AVE, Tahlequah, OK 74464-2512
- **Phone:** (918) 458-3100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275190688) · Data from the CMS NPPES public registry.