SOH OF TEXAS SAMSON LIU PLLC (NPI# 1457828493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457828493 |
| Entity Type | Organization |
| Organization Name | SOH OF TEXAS SAMSON LIU PLLC |
| Practice Address |
2170 Matlock Rd Mansfield TX 76063-3814 |
| Mailing Address |
1422 Elbridge Payne Rd Ste 240 Chesterfield MO 63017-8544 |
| Practice Telephone | 6825185655 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |
| Authorized Official Name | RAY WEBER (SUPPORT SPECIALIST) |
| Authorized Official Telephone | 3147538154 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOH OF TEXAS SAMSON LIU PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| IVY ROSE MANSFIELD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801359880 | Soh of Texas Samson Liu Pllc | Dentist | 2700 Barton Creek Blvd Ste 130, Austin, TX 78735-1637 | 2019-04-08 |
| 1407328321 | Soh of Texas Samson Liu Pllc | Dentist | 8715 Lebanon Rd Ste 300, Frisco, TX 75034-8653 | 2018-12-18 |
| 1295204675 | Soh of Texas Samson Liu Pllc | Dentist | 116 W Parkerville Rd Ste 112, Desoto, TX 75115-8032 | 2018-11-15 |
| 1720557275 | Soh of Texas Samson Liu Pllc | Dentist | Fm 1960 #204, Humble, TX 77346 | 2018-11-14 |
| 1275000135 | Soh of Texas Samson Liu Pllc | Dentist | 1625 Pecan Dr, Arlington, TX 76012 | 2018-10-30 |
| 1992272850 | Soh of Texas Samson Liu Pllc | Dentist | 1616 Ftm 685 #103, Pflugerville, TX 78660 | 2018-10-30 |
| 1194292144 | Soh of Texas Samson Liu Pllc | Dentist | 1514 E Abram St Ste A, Arlington, TX 76010-7213 | 2018-10-29 |
| 1891262853 | Soh of Texas Samson Liu Pllc | Dentist | 3330 N Galloway Ave Ste 158, Mesquite, TX 75150-4701 | 2018-10-29 |
| 1033725163 | Soh of Texas Samson Liu Pllc | Dentist | 7230 Briar Pl, San Antonio, TX 78221-1600 | 2020-09-23 |
| 1891253407 | Soh of Texas Samson Liu Pllc | Dentist | 7011 Hart Ln, Austin, TX 78731-3018 | 2019-03-04 |
| Street Address |
2170 MATLOCK RD |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1457992828 | Mansfield Modern Dentistry, PC | Dentist | 287 School St Ste 120, Mansfield, MA 02048-1850 | 2019-10-07 |
| 1336614924 | Dentists of Mansfield PC | Dentist | 2891 Matlock Rd Ste 101, Mansfield, TX 76063-5383 | 2018-10-10 |
| 1700307014 | Margaret Hirsch | Dentist | 747 Highway 287 N Ste A, Mansfield, TX 76063-2619 | 2017-06-28 |
| 1295288892 | Rachel Todd | Dentist | 1809 Yarmouth Ln, Mansfield, TX 76063-2900 | 2016-07-31 |
| 1548656978 | Janice Hernandez | Dentist | 3806 E Broad St Ste 108, Mansfield, TX 76063-5621 | 2015-04-13 |
| 1619316866 | Jonathan Adam Wilson | Dentist | 425 W Cook Rd, Mansfield, OH 44907-2300 | 2013-06-20 |
| 1275979981 | P'jay Merrell | Dentist | 3302 Richmond Circle, Mansfield, TX 76063-5187 | 2013-05-21 |
| 1114273430 | Daniel Nnadiugwu Nnadiugwu | Dentist | 1521 E Debbie Ln, Mansfield, TX 76063-3341 | 2012-07-25 |
| 1184989782 | Blaire L Marshall | Dentist | Mansfield Modern Dentistry, 287 School St Ste 120, Mansfield, MA 02048-0204 | 2012-07-10 |
| Find all providers in MANSFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.