Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sebastian M Bouroncle Dds-2 Stafford PLLC

Organization General Practice Dentistry · NPI 1073057741

Sebastian M Bouroncle Dds-2 Stafford PLLC is a General Practice Dentistry in Stafford, Virginia. Licensed in Virginia. Registered with an NPI since 2016.

Licensed in
VA
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

450 Garrisonville Rd Suite# 201
Stafford, VA 22554-1532
Phone: (540) 720-1222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 0401411466 (VA)

Record details

NPI number1073057741
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wendy Tavara — Office Manager · (540) 720-1222
Other names New Smiles Dental Stafford
NPI enumeratedDecember 14, 2016
Last updated in NPPESDecember 14, 2016
Mailing address450 Garrisonville Rd, Suite# 201, Stafford, VA 22554-1532

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