Individual provider · Type 1 NPI

Samuel Dastrup

Dentist · Spencer, NC

NPI number 1457911513 Active

Practice location

430 S Salisbury Ave
Spencer, NC 28159-2239

Mailing address

2577 Shoal Park Rd
Concord, NC 28027-2871

Other practice locations

  • 9550 Rocky River Rd Ste 202, Charlotte, NC 28215-9526 · (801) 821-8982

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X14450 (NC)

Dentist: 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 requiremen…

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About NPI 1457911513

Samuel Dastrup's National Provider Identifier is 1457911513, issued on Jun 19, 2019. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Spencer, NC. The record was last updated on Oct 10, 2025.