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SEBASTIAN M BOURONCLE DDS-3 ALEXANDRIA PLLC
NPI 1114574654
Dentist - General Practice in Alexandria, VA

Active since August 20, 2019
5252 DAWES AVE, ALEXANDRIA, VA 22311(703) 933-8500(703) 933-8506 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sebastian M Bouroncle Dds-3 Alexandria Pllc NPPES

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

SEBASTIAN M BOURONCLE DDS-3 ALEXANDRIA PLLC (NPI 1114574654), doing business as New Smiles Dental Alexandria, is a healthcare organization registered as a general practice in Alexandria, Virginia and active in the NPI registry since August 2019. The organization lists Wendy Tavara, Regional Manager, as its authorized official.

NPPES Registry Identity

NPI1114574654
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSEBASTIAN M BOURONCLE DDS-3 ALEXANDRIA PLLC
Location Address5252 DAWES AVEAlexandria, VA 22311-1404
Mailing Address5252 Dawes AveAlexandria, VA 22311-1404 · (703) 933-8500 · Fax (703) 933-8506
Phone(703) 933-8500
Fax(703) 933-8506
Organization SubpartNo
Authorized OfficialWendy TavaraRegional Manager · (703) 933-8500
Enumeration DateAugust 20, 2019
✔ NPI 1114574654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
5252 DAWES AVE, Alexandria, VA 22311
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Other Names 1

Doing Business AsNew Smiles Dental Alexandria

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 3

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

GORAN DOSEN , DDS, PC
Dentist
5252 DAWES AVE
ALEXANDRIA, VA 22311
Alexandria City (703) 933-8500
DR. GORAN DOSEN DDS
Dentist
5252 DAWES AVE
ALEXANDRIA, VA 22311
Alexandria City (703) 933-8500
STAFFORD PROSTHODONTICS PLLC
Dentist (General Practice)
5252 DAWES AVE
ALEXANDRIA, VA 22311
Alexandria City (703) 933-8500

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-3 Alexandria PLLC's NPI number?

The NPI number for Sebastian M Bouroncle Dds-3 Alexandria PLLC is 1114574654. It was assigned to this organization in the NPPES registry on August 20, 2019. The provider is doing business as New Smiles Dental Alexandria.

Where is Sebastian M Bouroncle Dds-3 Alexandria PLLC located?

Sebastian M Bouroncle Dds-3 Alexandria PLLC is located at 5252 Dawes Ave, Alexandria, VA 22311. The listed phone number is (703) 933-8500.

What is Sebastian M Bouroncle Dds-3 Alexandria 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-3 Alexandria PLLC was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.