Dr Antoine O Sourialle, DDS - Dentist in San Bernardino, CA

Dr Antoine O Sourialle, DDS is a Dentist - General Practice based in San Bernardino, California. Dr Antoine O Sourialle is licensed to practice in California (license number 44093) and his current practice location is 399 E Highland Ave Ste 120, San Bernardino, California. He can be reached at his office (for appointments etc.) via phone at (909) 881-0645.

NPI number for Dr Antoine O Sourialle is 1811017031 and his current mailing address is 399 E Highland Ave Ste 120, San Bernardino, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811017031.

Contact Information

Dr Antoine O Sourialle, DDS
399 E Highland Ave Ste 120,
San Bernardino, CA 92404-3812
(909) 881-0645
(909) 881-4957

Map and Direction




Healthcare Provider's Profile

Full NameDr Antoine O Sourialle
GenderMale
SpecialityDentist - General Practice
Location399 E Highland Ave Ste 120, San Bernardino, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1811017031
  • Provider Enumeration Date: 03/30/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Antoine O Sourialle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811017031NPI-NPPES
0010973OtherCAASSURANT HMO
0210745OtherCACIGNA HMO
10490OtherCAPACIFICARE
P006271OtherCAWELLPOINT DENTAL
01628OtherCAWESTERN DENTAL
50755-1OtherCABLUE SHIELD
004239OtherCALIBERTY DENTAL HMO
0004636OtherCAMANAGED DENTAL CARE
DJ61OtherCASMILESAVER
20088156OtherCAPRIVIOUS EIN
007367OtherCAPMI
134921OtherCADHS HMO
97036530OtherCASAFEGUARD HMO
D44093OtherCADENT-CAL
F0275OtherCAGOLDENWEST

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 44093 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Antoine O Sourialle is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Antoine O Sourialle, DDS
399 E Highland Ave Ste 120,
San Bernardino, CA 92404-3812

Ph: (909) 881-0645
Dr Antoine O Sourialle, DDS
399 E Highland Ave Ste 120,
San Bernardino, CA 92404-3812

Ph: (909) 881-0645

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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