Dr. Antoine O. Sourialle is a San Bernardino, California based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Antoine O. Sourialle is 44093 for General Practice Dentistry in California. His current practice location is 399 E Highland Ave Ste 120, San Bernardino. Patients can reach him at 909-881-0645.
Dr. Antoine O. Sourialle is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Antoine O. Sourialle speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Antoine O. Sourialle
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
399 E Highland Ave Ste 120, San Bernardino, California, 92404-3812
Phone:
909-881-0645
Fax:
909-881-4957
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 are as mentioned below.
NPI Number:
1811017031
NPI Enumeration Date:
30 Mar, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Antoine O. Sourialle are as mentioned below.
License Number
Specialization
State
Status
44093
General Practice Dentistry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Antoine O. Sourialle such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0010973
Other
California
ASSURANT HMO
0210745
Other
California
CIGNA HMO
10490
Other
California
PACIFICARE
P006271
Other
California
WELLPOINT DENTAL
01628
Other
California
WESTERN DENTAL
50755-1
Other
California
BLUE SHIELD
004239
Other
California
LIBERTY DENTAL HMO
0004636
Other
California
MANAGED DENTAL CARE
DJ61
Other
California
SMILESAVER
20088156
Other
California
PRIVIOUS EIN
007367
Other
California
PMI
134921
Other
California
DHS HMO
97036530
Other
California
SAFEGUARD HMO
D44093
Other
California
DENT-CAL
F0275
Other
California
GOLDENWEST
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
399 E Highland Ave Ste 120, San Bernardino, California
Zip:
92404-3812
Phone Number:
909-881-0645
Fax Number:
909-881-4957
Patients can reach Dr. Antoine O. Sourialle at 399 E Highland Ave Ste 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 11 November, 2024.