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SAMUEL DASTRUP DDS PLLC
NPI 1902763840
Dentist - General Practice in Spencer, NC

Active since January 05, 2026
430 S SALISBURY AVE, SPENCER, NC 28159(704) 633-1260(704) 633-1263 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel Dastrup Dds Pllc NPPES

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

SAMUEL DASTRUP DDS PLLC (NPI 1902763840) is a healthcare organization registered as a general practice in Spencer, North Carolina and active in the NPI registry since January 2026. The organization lists Samuel Dastrup, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1902763840
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSAMUEL DASTRUP DDS PLLC
Location Address430 S SALISBURY AVESpencer, NC 28159-2239
Mailing AddressPo Box 113Spencer, NC 28159-0113 · (435) 671-8491 · Fax (704) 633-1263
Phone(704) 633-1260
Fax(704) 633-1263
Organization SubpartNo
Authorized OfficialSamuel DastrupOwner/dentist · (801) 821-8982
Enumeration DateJanuary 5, 2026
NPPES CertifiedJanuary 5, 2026
✔ NPI 1902763840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
430 S SALISBURY AVE, Spencer, NC 28159
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

DR. SAMUEL DASTRUP
Dentist
430 S SALISBURY AVE
SPENCER, NC 28159
Rowan County (801) 821-8982
DR. KENNETH WASHKO DDS
Dentist
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 Dds PLLC's NPI number?

The NPI number for Samuel Dastrup Dds PLLC is 1902763840. It was assigned to this organization in the NPPES registry on January 5, 2026.

Where is Samuel Dastrup Dds PLLC located?

Samuel Dastrup Dds PLLC is located at 430 S Salisbury Ave, Spencer, NC 28159. The listed phone number is (704) 633-1260.

What is Samuel Dastrup Dds PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Samuel Dastrup Dds PLLC was last updated on January 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.