Organization · Type 2 NPI

Soh of Missouri Samson Liu PC

General Practice Dentistry · Florissant, MO

NPI number 1114503067 Active

Practice location

111 N Highway 67 St
Florissant, MO 63031-5901

Call (636) 362-4986 Map

Mailing address

1190 Meramec Station Rd Ste 110
Ballwin, MO 63021-6902

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed
Orthodontics and Dentofacial Orthopedics Dentistry	1223X0400X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Other general practice dentistry providers in Florissant

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NPI record

NPI: 1114503067
Entity type: Organization (Type 2)
Issued: Mar 22, 2021
Last updated: Sep 28, 2026
Status: Active
Subpart: Yes of Soh of Missouri Samson Liu PC

Other names

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Lindbergh Dental & Orthodontics · doing business as

Authorized official

Ashly Kristine Sunshine
Credentialing Specialist
(314) 413-2803

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114503067

Soh of Missouri Samson Liu PC's National Provider Identifier is 1114503067, issued on Mar 22, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Florissant, MO. The record was last updated on Sep 28, 2026.