SEBASTIAN M BOURONCLE DDS-2 STAFFORD PLLC NPI 1073057741

NPI Information

  • NPI: 1073057741
  • Provider Name: SEBASTIAN M BOURONCLE DDS-2 STAFFORD PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: NEW SMILES DENTAL STAFFORD
  • Address: 450 GARRISONVILLE RD
    SUITE# 201
    STAFFORD, VA
    ZIP 22554
  • Phone: (540) 720-1222

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NPI Details

SEBASTIAN M BOURONCLE DDS-2 STAFFORD PLLC is a general practice dentist in Stafford, VA. The provider is 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. SEBASTIAN M BOURONCLE DDS-2 STAFFORD PLLC NPI is 1073057741. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As New Smiles Dental Stafford.

The provider's business location address is:

450 GARRISONVILLE RD
SUITE# 201
STAFFORD, VA
ZIP 22554-532
Phone: (540) 720-1222

The provider's authorized official is Wendy Tavara .
The authorized official title is Office Manager and has the following contact phone number (540) 720-1222.

The enumeration date for this NPI number is 12/14/2016 and was last updated on 12/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice0401411466VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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