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 provides 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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