Southland Dental Group Antoine Sourialle Dds Inc
Dental Clinic
399 E Highland Ave, Suite 120, San Bernardino
California, 92404-3808
909-881-0645 909-881-4957
Maps & DirectionsSouthland Dental Group Antoine Sourialle Dds Inc is a Dental Clinic in San Bernardino, California. It is located at 399 E Highland Ave, Suite 120, San Bernardino, CA and its contact number is 909-881-0645. The authorized person for Southland Dental Group Antoine Sourialle Dds Inc is Dr. Antoine O Sourialle
who is Owner of the clinic and their contact number is 909-881-0645. The primary license number for Southland Dental Group Antoine Sourialle Dds Inc is 44093 (General Practice) in California.
Southland Dental Group Antoine Sourialle Dds Inc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Southland Dental Group Antoine Sourialle Dds Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Southland Dental Group Antoine Sourialle Dds Inc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 399 E Highland Ave, Suite 120, San Bernardino,
California, 92404-3808 |
| Phone: | 909-881-0645 |
| Fax: | 909-881-4957 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Antoine O Sourialle |
| Position: | Owner |
| Contact Number: | 909-881-0645 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southland Dental Group Antoine Sourialle Dds Inc clinic are as mentioned below.
| NPI Number: | 1588715031 |
| NPI Enumeration Date: | 12 Jan, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southland Dental Group Antoine Sourialle Dds Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 44093 | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 10490 | Other | California | Pacificare Hmo |
| 20088156 | Other | California | Previous Ein |
| 004239 | Other | California | Liberty Dental Hmo |
| B44093-01 | Other | California | Delta Healthy Family |
| DJ61 | Other | California | Smilesaver Hmo |
| G92830-01 | Other | California | Denti-cal |
| 007367 | Other | California | Pmi Hmo |
| 50755-1 | Other | California | Blue Shield |
| 971330 | Other | California | United Concordia Hmo |
| 97036530 | Other | California | Safeguard Hmo |
| 134921 | Other | California | Dhs Hmo |
| F0275 | Other | California | Golden West Hmo |
| 0010973 | Other | California | Assurant Hmo |
| P006271 | Other | California | Wellpoint Hmo |
| 0004636 | Other | California | Managed Dental Hmo |
| 01628 | Other | California | Western Dental Hmo |
| 210745 | Other | California | Cigna Hmo |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Southland Dental Group Antoine Sourialle Dds Inc
399 E Highland Ave, Suite 120
San Bernardino, California |
| Zip: | 92404-3808 |
| Phone Number: | 909-881-0645 |
| Fax Number: | 909-881-4957 |
Patients can reach Southland Dental Group Antoine Sourialle Dds Inc at
399 E Highland Ave, Suite 120, San Bernardino, California or can
call to book an appointment on 909-881-0645.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.