MEDICARE: SOUMAVA SEN, DDS, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356680664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUMAVA SEN, DDS, P.C.

Provider Business Mailing Address
First Line	:	530 S MAIN ST
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-4525
Country	:	US
Telephone Number	:	714-480-3000
Fax Number	:	714-571-6445

Provider Business Practice Location Address
First Line	:	1455 AUSTIN HWY
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-4455
Country	:	US
Telephone Number	:	210-248-0385
Fax Number	:	210-248-0394

Authorized Official
Title or Position	:	OWNER
Name	:	SOUMAVA SEN
Credential	:
Telephone Number	:	714-480-3000

Provider Enumeration Date	:	02/06/2013
Last Update Date	:	02/06/2013

Similar Medicare Providers

1720054398 — DR. MILTON TAYLOR MASON DDS
Practice Location Address:

4455 HARRY WURZBACH RD
SAN ANTONIO, TX
78209-2402

Practice Phone: 210-822-4664
Practice Fax: 210-822-4878

1073589131 — DR. EMANUEL FLORIAN DEHELEAN DMD
Practice Location Address:

MASON DENTAL CENTER , 4455 HARRY WURZBACH
SAN ANTONIO, TX
78209

Practice Phone: 210-822-4664
Practice Fax: 210-822-4878

1871553610 — JOANA GUTIERREZ GANESHAPPA DDS
Practice Location Address:

4455 HARRY WURZBACH RD
SAN ANTONIO, TX
78209-2402

Practice Phone: 210-822-4664
Practice Fax: 210-822-4878

1700052255 — MASON DENTAL CENTER PA
Practice Location Address:

4455 HARRY WURZBACH RD
SAN ANTONIO, TX
78209-2402

Practice Phone: 210-822-4664
Practice Fax: 210-422-4878

1740590777 — DR. DERICK WANG DMD
Practice Location Address:

1455 AUSTIN HWY
SAN ANTONIO, TX
78209-4455

Practice Phone: 412-897-0174
Practice Fax:

1184064107 — DR. NEKER ESTEBAN BERNUY DDS
Practice Location Address:

1455 AUSTIN HWY
SAN ANTONIO, TX
78209-4455

Practice Phone: 714-450-0346
Practice Fax:

Directions to “SOUMAVA SEN, DDS, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.