Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Samuel Clarkman Smith, DDS

Individual provider Periodontics · NPI 1164104923

Dr. Samuel Clarkman Smith, DDS is a Periodontics in Mooresville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina and South Carolina.

Licensed in
NC, SC
In the registry since
2023
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

690 Bluefield Rd Ste A
Mooresville, NC 28117-7005
Phone: (704) 659-0972
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 14654 (NC)
Periodontics Taxonomy 1223P0300X · Licence 11524 (SC)

Record details

NPI number1164104923
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 2, 2023
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026