<unavail> in La Quinta, CA - Medicare Dentist

is a medicare enrolled dental clinic (Dentist) in La Quinta, California. The current practice location for is 79845 Highway 111, Suite 101, La Quinta, California. For appointments, you can reach them via phone at (760) 342-2258. The mailing address for is 79845 Highway 111, Suite 101, La Quinta, California and phone number is (760) 342-2258.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1609202746. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (760) 342-2258.

Contact Information


	79845 Highway 111 Suite 101 La Quinta CA 92253-4758
	(760) 342-2258
	(760) 342-6258

Map and Direction

Dental Care Clinic Profile

Full Name
Speciality	Dentist
Location	79845 Highway 111, La Quinta, California
Authorized Official Name and Position	Nash Sourial (OWNER)
Authorized Official Contact	7603422258
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
79845 Highway 111 Suite 101 La Quinta CA 92253-4758 Ph: (760) 342-2258	79845 Highway 111 Suite 101 La Quinta CA 92253-4758 Ph: (760) 342-2258

NPI Details:

NPI Number	1609202746
Provider Enumeration Date	09/20/2013
Last Update Date	09/20/2013

Medicare PECOS Information:

Medicare PECOS PAC ID	0244646974
Medicare Enrollment ID	O20210304000996

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609202746	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Nash Sourial
Provider Type	Practitioner - Oral Surgery
Provider Identifiers	NPI Number: 1699931394 PECOS PAC ID: 4486975984 Enrollment ID: I20210304001166

Reviews and Comments

Dental Clinics in La Quinta, CA

Larry Kunkle, Dds, Apc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 78640 Highway 111, La Quinta, CA 92253 Phone: 760-564-0955
Huq Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 79800 Highway 111 Ste 109, La Quinta, CA 92253 Phone: 760-775-0600 Fax: 760-775-0663
Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 47875 Caleo Bay Dr, A101, La Quinta, CA 92253 Phone: 760-564-1300
Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 79255 Highway 111, Suite 1a & 1b, La Quinta, CA 92253 Phone: 760-771-1200 Fax: 760-564-6370
Jefferson Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 79800 Highway 111 Ste 109, La Quinta, CA 92253 Phone: 760-775-0600 Fax: 760-775-0663
Rita Christine Soto Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 78900 Avenue 47, Ste. 110, La Quinta, CA 92253 Phone: 760-771-8334 Fax: 760-771-8337
Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 50855 Washington St, Suite 2g, La Quinta, CA 92253 Phone: 760-234-6497

- Medicare Dental Clinic in La Quinta, CA