Organization Active NPI

Soh of Missouri Samson Liu PC

Doing business as Plaza Dental Group

  • General Practice Dentistry
  • Columbia, MO
National Provider Identifier
1528628716
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 MISSOURI SAMSON LIU PC
Doing business as
Plaza Dental Group
Practice address
105 N Keene St Ste 100
Columbia, MO 65201-8131
Phone
(573) 817-2222
NPI assigned
Jun 19, 2019
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
Ashly Sunshine
Title
Vendor Relation Manager
Phone
(314) 413-2803

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU

Addresses

Primary practice location

105 N Keene St Ste 100
Columbia, MO 65201-8131

Mailing address

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

Other names 1

  • Plaza Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

105 N Keene St
Ste 100
Columbia, MO 65201
Phone (573) 442-5525

303 N Keene St
Ste 202210
Columbia, MO 65201
Phone (573) 817-2222

303 N Keene St
#202210
Columbia, MO 65201

Practitioners & affiliated clinicians

Practitioners 4

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": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1528628716",
    "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": "105 N KEENE ST STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018131",
            "telephone_number": "573-817-2222"
        }
    ],
    "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": "2019-06-19",
        "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": "VENDOR RELATION MANAGER",
        "authorized_official_telephone_number": "314-413-2803"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Plaza Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

Verify at the official NPI Registry.