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ANGELICA SONG DMD
NPI 1659160604
Independent Medical Examiner in Saint Louis, MO

Active since May 05, 2025
4171 CRESCENT DR STE 102, SAINT LOUIS, MO 63129(314) 742-8038 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2025, May 5, 2025 (2 updates tracked since 2025).

About Angelica Song Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELICA SONG DMD (NPI 1659160604) is an individual independent medical examiner provider in Saint Louis, Missouri, licensed in Missouri (2025021915) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1659160604
Entity TypeIndividualFemale
Primary Taxonomy202C00000X
Provider Legal NameANGELICA SONGCredential: DMD
Location Address4171 CRESCENT DR STE 102Saint Louis, MO 63129-3645
Mailing Address5712 Oakland AveSaint Louis, MO 63110-1318 · (314) 742-8038
Phone(314) 742-8038
Sole ProprietorNo
Enumeration DateMay 5, 2025
Last NPPES UpdateJuly 16, 20252 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1659160604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIndependent Medical ExaminerAllopathic & Osteopathic Physicians
Taxonomy Code202C00000X
License✔ Licensed in MO · 2025021915
Definition
A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4171 CRESCENT DR STE 102, Saint Louis, MO 63129
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARRET GONZALES DDS
Dentist
4171 CRESCENT DR STE 102
SAINT LOUIS, MO 63129
St. Louis County (314) 200-3880
DR. ALEXANDER AHMADI DMD
Dentist (General Practice)
4171 CRESCENT DR STE 102
SAINT LOUIS, MO 63129
St. Louis County (314) 200-3880
DR. JORDAN ANDRADE DMD
Dentist (General Practice)
4171 CRESCENT DR STE 102
SAINT LOUIS, MO 63129
St. Louis County (314) 200-3880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelica Song's NPI number?

The NPI number for Angelica Song is 1659160604. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is Angelica Song located?

Angelica Song practices at 4171 Crescent Dr Ste 102, Saint Louis, MO 63129. The listed phone number is (314) 742-8038.

What is Angelica Song's specialty?

The primary specialty registered for this NPI is Independent Medical Examiner with taxonomy code 202C00000X.

When was this NPI record last updated?

The NPPES record for Angelica Song was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.