DR. SAMUEL CLARKMAN SMITH DDS
NPI 1164104923
Dentist - Periodontics in Mooresville, NC

Q: What is Samuel Smith's NPI number?

The NPI number for Samuel Smith is 1164104923. It was assigned to this individual provider in the NPPES registry on August 2, 2023.

Q: What is Samuel Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Smith was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 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.

Active since August 02, 2023

690 BLUEFIELD RD STE A, MOORESVILLE, NC 28117(704) 659-0972 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Dr. Samuel Clarkman Smith Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL CLARKMAN SMITH DDS (NPI 1164104923) is an individual periodontics provider in Mooresville, North Carolina, licensed in North Carolina (14654) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1164104923

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. SAMUEL CLARKMAN SMITHCredential: DDS

Location Address690 BLUEFIELD RD STE AMooresville, NC 28117-7005

Mailing Address349 Preston RdMooresville, NC 28117-8612 · (573) 356-9936

Phone(704) 659-0972

Sole ProprietorYes

Enumeration DateAugust 2, 2023

Last NPPES UpdateJuly 16, 2026

NPPES CertifiedJuly 16, 2026

✔ NPI 1164104923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Licenses✔ Licensed in NC · 14654✔ Licensed in SC · 11524

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

690 BLUEFIELD RD STE A, Mooresville, NC 28117

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARSYN JEAN BARNES

Dentist (General Practice)

690 BLUEFIELD RD STE A
MOORESVILLE, NC 28117

Iredell County (704) 659-0972

ALI SHAHRESTANI, D.M.D., PLLC

Dentist (General Practice)

690 BLUEFIELD RD STE A
MOORESVILLE, NC 28117

Iredell County (704) 659-0972

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 Samuel Smith's NPI number?

The NPI number for Samuel Smith is 1164104923. It was assigned to this individual provider in the NPPES registry on August 2, 2023.

Where is Samuel Smith located?

Samuel Smith practices at 690 Bluefield Rd Ste A, Mooresville, NC 28117. The listed phone number is (704) 659-0972.

What is Samuel Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Samuel Smith was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 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.