MEDICARE: DR. ANTOINE W SARKIS D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	002318	TX

General Provider Information

NPI Number	:	1225230063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTOINE W SARKIS D.D.S.

Provider Business Mailing Address
First Line	:	1711 ESCADA
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4531
Country	:	US
Telephone Number	:	210-577-8363
Fax Number	:

Provider Business Practice Location Address
First Line	:	3293 WURZBACH RD
Second Line	:	SUITE 103
City	:	SAN ANTONIO
State	:	TX
Zip	:	78238-4002
Country	:	US
Telephone Number	:	210-699-1122
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	05/27/2021

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