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DR. SAMUEL DASTRUP
NPI 1457911513
Dentist in Spencer, NC

Active since June 19, 2019
430 S SALISBURY AVE, SPENCER, NC 28159(801) 821-8982 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 10, 2025, Jun 19, 2019 (2 updates tracked since 2019).

About Dr. Samuel Dastrup NPPES

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

DR. SAMUEL DASTRUP (NPI 1457911513) is an individual dentist in Spencer, North Carolina, licensed in North Carolina (14450) and active in the NPI registry since June 2019. He maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1457911513
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SAMUEL DASTRUP
Location Address430 S SALISBURY AVESpencer, NC 28159-2239
Mailing Address2577 Shoal Park RdConcord, NC 28027-2871 · (801) 821-8982
Phone(801) 821-8982
Sole ProprietorNo
Enumeration DateJune 19, 2019
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
✔ NPI 1457911513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NC · 14450
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
430 S SALISBURY AVE, Spencer, NC 28159
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Secondary Practice Location 1

Location 19550 Rocky River Rd Ste 202Charlotte, NC 28215-9526 · Phone (801) 821-8982

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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.

DR. KENNETH WASHKO DDS
Dentist
430 S SALISBURY AVE
SPENCER, NC 28159
Rowan County (704) 633-1260
SAMUEL DASTRUP DDS PLLC
Dentist (General Practice)
430 S SALISBURY AVE
SPENCER, NC 28159
Rowan County (704) 633-1260

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 Dastrup's NPI number?

The NPI number for Samuel Dastrup is 1457911513. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Where is Samuel Dastrup located?

Samuel Dastrup practices at 430 S Salisbury Ave, Spencer, NC 28159. The listed phone number is (801) 821-8982.

What is Samuel Dastrup's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Samuel Dastrup accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of North Carolina and 5 other insurers list Samuel Dastrup 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 Samuel Dastrup was last updated on October 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.