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DR. ANTOINE O. SOURIALLE D.D.S.
NPI 1811017031
Dentist - General Practice in San Bernardino, CA

Active since March 30, 2007
399 E HIGHLAND AVE STE 120, SAN BERNARDINO, CA 92404(909) 881-0645(909) 881-4957 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Antoine O. Sourialle D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANTOINE O. SOURIALLE D.D.S. (NPI 1811017031) is an individual general practice provider in San Bernardino, California, licensed in California (44093) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1811017031
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANTOINE O. SOURIALLECredential: D.D.S.
Location Address399 E HIGHLAND AVE STE 120San Bernardino, CA 92404-3812
Mailing Address399 E Highland Ave Ste 120San Bernardino, CA 92404-3812 · (909) 881-0645 · Fax (909) 881-4957
Phone(909) 881-0645
Fax(909) 881-4957
Sole ProprietorYes
Enumeration DateMarch 30, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1811017031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 44093
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
399 E HIGHLAND AVE STE 120, San Bernardino, CA 92404
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Other Identifiers 15

Other007367CA · Pmi
Other0004636CA · Managed Dental Care
Other004239CA · Liberty Dental Hmo
Other01628CA · Western Dental
Other0210745CA · Cigna Hmo
Other97036530CA · Safeguard Hmo
Other20088156CA · Privious Ein
Other50755-1CA · Blue Shield
OtherD44093CA · Dent-cal
Other10490CA · Pacificare
Other0010973CA · Assurant Hmo
Other134921CA · Dhs Hmo
OtherDJ61CA · Smilesaver
OtherF0275CA · Goldenwest
OtherP006271CA · Wellpoint Dental

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH SOURIALLE DMD
Dentist
399 E HIGHLAND AVE STE 120
SAN BERNARDINO, CA 92404
San Bernardino County (909) 881-0645

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antoine Sourialle's NPI number?

The NPI number for Antoine Sourialle is 1811017031. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Antoine Sourialle located?

Antoine Sourialle practices at 399 E Highland Ave Ste 120, San Bernardino, CA 92404. The listed phone number is (909) 881-0645.

What is Antoine Sourialle's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Antoine Sourialle accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Antoine Sourialle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Antoine Sourialle was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.