Organization Active NPI

Soh of Texas Samson Liu PLLC

Doing business as MG Family Dentistry

  • General Practice Dentistry
  • Desoto, TX
National Provider Identifier
1295204675
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SOH OF TEXAS SAMSON LIU PLLC
Doing business as
MG Family Dentistry
MG Family Dentistry Desoto
Practice address
116 W Parkerville Rd Ste 112
Desoto, TX 75115-8032
Phone
(469) 643-3422
NPI assigned
Nov 15, 2018
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SOH OF TEXAS SAMSON LIU PLLCAs 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
Ashly Sunshine
Title
Credentialing Specialist
Phone
(636) 362-4986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

116 W Parkerville Rd Ste 112
Desoto, TX 75115-8032

Mailing address

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

Other names 2

  • MG FAMILY DENTISTRY Doing business as
  • MG Family Dentistry Desoto Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Soh of Texas Samson Liu PLLC21 organizations share this tax ID, including this one
Part of
Soh of Texas Samson Liu PLLC

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

116 W Parkerville Rd
Ste 112
Desoto, TX 75115
Phone (469) 643-3422

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1295204675",
    "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": "116 W PARKERVILLE RD STE 112",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158032",
            "telephone_number": "469-643-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOH OF TEXAS SAMSON LIU PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOH OF TEXAS SAMSON LIU PLLC",
        "enumeration_date": "2018-11-15",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "SUNSHINE",
        "authorized_official_first_name": "ASHLY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "636-362-4986"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MG FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MG Family Dentistry Desoto",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Desoto, TX

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.