Southland 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.