Organization Active NPI

Soh of Missouri Samson Liu PC

Doing business as Discovery Dental Center

  • Dentist
  • Saint Peters, MO
National Provider Identifier
1013820166
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SOH OF MISSOURI SAMSON LIU PC
Doing business as
Discovery Dental Center
Practice address
245 Salt Lick Rd
Saint Peters, MO 63376-5974
Phone
(636) 397-1474
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SOH OF MISSOURI SAMSON LIU PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samson LiuNPI 1568501955
Title
Owner
Phone
(217) 821-7960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

245 Salt Lick Rd
Saint Peters, MO 63376-5974

Mailing address

1190 Meramec Station Rd Ste 110
Ballwin, MO 63021-6902
Phone (636) 362-4986

Other names 1

  • Discovery Dental Center Doing business as

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1013820166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 MERAMEC STATION RD STE 110",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630216902",
            "telephone_number": "636-362-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 SALT LICK RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765974",
            "telephone_number": "636-397-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOH OF MISSOURI SAMSON LIU PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOH OF MISSOURI SAMSON LIU PC",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "SAMSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-821-7960"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discovery Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.