Healthcare Provider Details

I. General information

NPI: 1861328536
Provider Name (Legal Business Name): SPENCER L SMITH DMD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 PAGE RD N STE 2
PINEHURST NC
28374-4619
US

IV. Provider business mailing address

305 PAGE RD N STE 2
PINEHURST NC
28374-4619
US

V. Phone/Fax

Practice location:
  • Phone: 910-295-1010
  • Fax: 910-295-1367
Mailing address:
  • Phone: 910-295-1010
  • Fax: 910-295-1367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. SPENCER SMITH
Title or Position: OWNER
Credential: DMD
Phone: 910-295-1010