Active NPI
Soh of Missouri Samson Liu PC
Doing business as Plaza Dental Group
- General Practice Dentistry
- Columbia, MO
National Provider Identifier
1528628716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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, 2026
- Organization subpart
- Yes
- Parent organization
- SOH OF MISSOURI SAMSON LIU PC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Columbia, MO
- NPI 1497485338
-
- General Practice Dentistry
- Columbia, MO
- NPI 1538053319
-
- Dentist
- Weldon Springs, MO
- NPI 1568501955
-
- Dentist
- Columbia, MO
- NPI 1912516923
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.