Individual provider · Type 1 NPI
Angelica Song, DMD
Independent Medical Examiner Physician · St. Louis, MO
NPI number
1659160604
Active
Practice location
4171 Crescent Dr Ste 102
St. Louis, MO 63129-3645
Mailing address
5712 Oakland Ave
St. Louis, MO 63110-1318
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Medical Examiner Physician Primary | 202C00000X | 2025021915 (MO) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Independent Medical Examiner Physician: A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.
4 other providers at this address
About NPI 1659160604
Angelica Song, DMD's National Provider Identifier is 1659160604, issued on May 5, 2025. The primary taxonomy on file is Independent Medical Examiner Physician (202C00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 16, 2025.