Sebastian M Bouroncle DDS-2 Stafford PLLC
NPI 1073057741 · General Practice Dentistry · Stafford, VA
Sebastian M Bouroncle DDS-2 Stafford PLLC is a General Practice Dentistry organization in Stafford, VA (NPI 1073057741).
Provider details
- NPI number
- 1073057741
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Wendy Tavara, Office Manager(540) 720-1222
- License
- 0401411466 (VA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- New Smiles Dental Stafford
Registry dates
- Enumerated
- 2016-12-14
- Last updated
- 2016-12-14
Frequently asked questions
- What is Sebastian M Bouroncle DDS-2 Stafford PLLC's NPI number?
- Sebastian M Bouroncle DDS-2 Stafford PLLC's National Provider Identifier (NPI) is 1073057741, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sebastian M Bouroncle DDS-2 Stafford PLLC?
- Sebastian M Bouroncle DDS-2 Stafford PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Sebastian M Bouroncle DDS-2 Stafford PLLC located?
- Sebastian M Bouroncle DDS-2 Stafford PLLC's practice location on file with NPPES is 450 Garrisonville Rd, Stafford, VA 22554-1532.
- What is Sebastian M Bouroncle DDS-2 Stafford PLLC's phone number?
- The practice phone number listed in the NPPES registry for Sebastian M Bouroncle DDS-2 Stafford PLLC is (540) 720-1222.
- Who is the authorized official for Sebastian M Bouroncle DDS-2 Stafford PLLC?
- The authorized official listed on Sebastian M Bouroncle DDS-2 Stafford PLLC's NPPES record is Wendy Tavara, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sebastian M Bouroncle DDS-2 Stafford PLLC's NPI active?
- Yes — Sebastian M Bouroncle DDS-2 Stafford PLLC's NPI (1073057741) is active in the NPPES registry as of the last update on 2016-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.