SEBASTIAN M BOURONCLE DDS4 FREDERICKSBURG PLLC
NPI 1811770472
Clinic/Center - Dental in Fredericksburg, VA

Active since August 17, 2023
11111 LEAVELLS RD, FREDERICKSBURG, VA 22407(540) 898-1747 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sebastian M Bouroncle Dds4 Fredericksburg Pllc NPPES

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

SEBASTIAN M BOURONCLE DDS4 FREDERICKSBURG PLLC (NPI 1811770472), doing business as New Smiles Dental Fredericksburg, is a healthcare organization registered as a dental in Fredericksburg, Virginia and active in the NPI registry since August 2023. The organization lists Sebastian M Bouroncle, Dentist Owner, as its authorized official.

NPPES Registry Identity

NPI1811770472
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSEBASTIAN M BOURONCLE DDS4 FREDERICKSBURG PLLC
Location Address11111 LEAVELLS RDFredericksburg, VA 22407-5015
Mailing Address11111 Leavells RdFredericksburg, VA 22407-5015 · (540) 898-1747
Organization SubpartYes
Authorized OfficialSebastian M BouroncleDentist Owner · (540) 898-1747
Enumeration DateAugust 17, 2023
NPPES CertifiedAugust 17, 2023
NPI 1811770472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
11111 LEAVELLS RD, Fredericksburg, VA 22407

Other Names 1

Doing Business AsNew Smiles Dental Fredericksburg

Other Providers at the Same Location NPPES

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

Massage Therapist
11111 LEAVELLS RD
FREDERICKSBURG, VA 22407

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 Dds4 Fredericksburg PLLC's NPI number?

The NPI number for Sebastian M Bouroncle Dds4 Fredericksburg PLLC is 1811770472. It was assigned to this organization in the NPPES registry on August 17, 2023. The provider is doing business as New Smiles Dental Fredericksburg.

Where is Sebastian M Bouroncle Dds4 Fredericksburg PLLC located?

Sebastian M Bouroncle Dds4 Fredericksburg PLLC is located at 11111 Leavells Rd, Fredericksburg, VA 22407. The listed phone number is (540) 898-1747.

What is Sebastian M Bouroncle Dds4 Fredericksburg PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Sebastian M Bouroncle Dds4 Fredericksburg PLLC was last updated on August 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.