IndividualActive
Angelica Song, DMD
NPI 1659160604 · Independent Medical Examiner Physician · Saint Louis, MO
Provider details
- NPI number
- 1659160604
- Entity type
- Individual
- Primary specialty
- Independent Medical Examiner PhysicianAllopathic & Osteopathic Physicians
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 2025021915 (MO)
Practice location
4171 Crescent Dr Ste 102
Saint Louis, MO 63129-3645
Phone: (314) 742-8038
Mailing address
5712 Oakland Ave
Saint Louis, MO 63110-1318
Registry dates
- Enumerated
- 2025-05-05
- Last updated
- 2025-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.