1. Home
  2. Directory
  3. Virginia
  4. Stafford
  5. Dentist
  6. NPI Profile

NEW SMILES DENTAL STAFFORD
NPI 1073057741
Dentist - General Practice in Stafford, VA

Active since December 14, 2016
450 GARRISONVILLE RD, SUITE# 201, STAFFORD, VA 22554(540) 720-1222 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About New Smiles Dental Stafford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW SMILES DENTAL STAFFORD (NPI 1073057741) is a healthcare organization registered as a general practice in Stafford, Virginia and active in the NPI registry since December 2016. The organization lists Wendy Tavara, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1073057741
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSEBASTIAN M BOURONCLE DDS-2 STAFFORD PLLC
Location Address450 GARRISONVILLE RD, SUITE# 201Stafford, VA 22554-1532
Mailing Address450 Garrisonville Rd, Suite# 201Stafford, VA 22554-1532 · (540) 720-1222
Phone(540) 720-1222
Organization SubpartNo
Authorized OfficialWendy TavaraOffice Manager · (540) 720-1222
Enumeration DateDecember 14, 2016
✔ NPI 1073057741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401411466
Definition
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.
450 GARRISONVILLE RD, Stafford, VA 22554
Open in Google Maps ↗

Other Names 1

Doing Business AsNew Smiles Dental Stafford

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEVIN DALE MOORE M.D.
Psychiatry & Neurology (Psychiatry)
450 GARRISONVILLE RD, 109
STAFFORD, VA 22554
Stafford County (703) 522-2727
DR. CAROLINA MARIA HERNANDEZ MD
Internal Medicine
450 GARRISONVILLE RD, SUITE 215
STAFFORD, VA 22554
Stafford County (540) 318-8167
ADVANCED SPINE AND PAIN CENTERS, PLLC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
450 GARRISONVILLE RD, SUITE 109
STAFFORD, VA 22554
Stafford County (703) 522-2727
MR. JAMES HUANG MD
Physical Medicine & Rehabilitation (Pain Medicine)
450 GARRISONVILLE RD, 109
STAFFORD, VA 22554
Stafford County (703) 522-2727
DR. THOMAS J RALEY MD
Orthopaedic Surgery
450 GARRISONVILLE RD, SUITE 109
STAFFORD, VA 22554
Stafford County (703) 522-2727
MRS. GALADRIEL LEA PASTOR PA-C
Physician Assistant
450 GARRISONVILLE RD, SUITE 109
STAFFORD, VA 22554
Stafford County (703) 522-2727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sebastian M Bouroncle Dds-2 Stafford PLLC's NPI number?

The NPI number for Sebastian M Bouroncle Dds-2 Stafford PLLC is 1073057741. It was assigned to this organization in the NPPES registry on December 14, 2016. The provider is doing business as New Smiles Dental Stafford.

Where is Sebastian M Bouroncle Dds-2 Stafford PLLC located?

Sebastian M Bouroncle Dds-2 Stafford PLLC is located at 450 Garrisonville Rd Suite# 201, Stafford, VA 22554. The listed phone number is (540) 720-1222.

What is Sebastian M Bouroncle Dds-2 Stafford PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Sebastian M Bouroncle Dds-2 Stafford PLLC was last updated on December 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.