Soumava Sen, DDS, P.C
Organization Active NPI Dentist · Selma, TX
NPI 1821494931 · NPPES record last updated Nov 17, 2014
Key facts
- NPI
- 1821494931
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- SOUMAVA SEN, DDS, P.C
- Practice address
- 15069 Ih 35 N
Suite 218
Selma, TX 78154-3312 - Phone
- (210) 787-2367
- Fax
- (210) 807-6149
- NPI assigned
- Nov 17, 2014
- Organization subpart
- No
Authorized official
- Name
- Soumava Sen
- Title
- Owner
- Phone
- (714) 480-3000
Corporate family (same tax ID) 45
National Provider Directory
- Tax ID family
- Soumava Sen DDS PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
15069 Ih 35 N
Suite 218
Selma, TX 78154-3312
Mailing address
530 S Main St
Orange, CA 92868-4525
Phone (714) 480-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G60850 | Medicaid | TX |
Other providers in Selma, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.