Organization
SAMUEL DASTRUP DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL DASTRUP DDS (OWNER/DENTIST)
(801) 821-8982
Entity
Organization
Contact information
Practice address
430 S SALISBURY AVE, SPENCER, NC 28159-2239
(704) 633-1260
(704) 633-1263
Mailing address
PO BOX 113, SPENCER, NC 28159-0113
(435) 671-8491
(704) 633-1263
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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