| Samuel Dastrup Dds Pllc | |
|
430 S Salisbury Ave Spencer NC 28159-2239 | |
| (704) 633-1260 | |
| (704) 633-1263 |
| Full Name | Samuel Dastrup Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 430 S Salisbury Ave, Spencer, North Carolina |
| Authorized Official Name and Position | Samuel Dastrup (OWNER/DENTIST) |
| Authorized Official Contact | 8018218982 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Dastrup Dds Pllc Po Box 113 Spencer NC 28159-0113 Ph: (435) 671-8491 | Samuel Dastrup Dds Pllc 430 S Salisbury Ave Spencer NC 28159-2239 Ph: (704) 633-1260 |
| NPI Number | 1902763840 |
|---|---|
| Provider Enumeration Date | 01/05/2026 |
| Last Update Date | 01/05/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902763840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Melanie K. Marshall, Dds, Md, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 S Salisbury Ave, Spencer, NC 28159 Phone: 704-636-7215 Fax: 704-636-2898 |