Sebastian M. Bouroncle, DDS

General Practice Dentistry · Stafford, VA

Individual Active NPI

NPI number 1932245511

Practice location

385 Garrisonville Rd
Suite 108
Stafford, VA 22554-1545
Phone
(540) 657-7645
Fax
(540) 657-1009

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NPI record

NPI
1932245511
Entity type
Individual (Type 1)
Enumeration date
January 30, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 0401411466 VA

Mailing address

42 Davenport Dr
Apt # 303
Stafford, VA 22554-7180

About Dr. Bouroncle

Sebastian M. Bouroncle, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 385 Garrisonville Rd, Suite 108, Stafford, VA 22554-1545. The NPI number 1932245511 was assigned on January 30, 2007 and the record was last updated on July 8, 2007.

Dr. Bouroncle lists a license in the registry: #0401411466 (VA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sebastian M. Bouroncle, DDS?

The NPI number is 1932245511.

What is the phone number of Dr. Bouroncle?

The phone number listed for the practice location is (540) 657-7645.

Where is Dr. Bouroncle located?

385 Garrisonville Rd, Suite 108, Stafford, VA 22554-1545.

What is the taxonomy code for Dr. Bouroncle?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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