SEBASTIAN BOURONCLE DDS-1 PLLC (NPI# 1740667799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740667799 |
| Entity Type | Organization |
| Organization Name | SEBASTIAN BOURONCLE DDS-1 PLLC |
| Other Organization Name | NEW SMILES DENTAL |
| Practice Address |
1900 Opitz Blvd Ste C Woodbridge VA 22191-3320 |
| Practice Telephone | 7034940820 |
| Practice Fax Number | 7034999430 |
| Mailing Telephone | 7034940820 |
| Mailing Fax Number | 7034999430 |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |
| Authorized Official Name | MRS. VIRGINIA T DE CASTRO (OFFICE MANAGER) |
| Authorized Official Telephone | 7034940820 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 15L05992 | VA | Dental Providers |
| Other Name | Type Code |
|---|---|
| New Smiles Dental | Doing Business As Name - Organization |
| Street Address |
1900 OPITZ BLVD STE C |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013914951 | Primary Care Associates of Potomac PC | Internal Medicine | 1900 Opitz Blvd, Suite F, Woodbridge, VA 22191 | 2005-07-07 |
| 1699227942 | Hematology Oncology Care of Northern Virginia | Clinic/Center | 1900 Opitz Blvd, Suite E & F, Woodbridge, VA 22191-3320 | 2016-11-02 |
| 1982928750 | Potomac Health Pharmacy LLC | Pharmacy | 1900 Opitz Blvd, Ste B, Woodbridge, VA 22191-3320 | 2010-03-22 |
| 1902856461 | Sally Cook | Nurse Practitioner | 1900 Opitz Blvd, Suite F, Woodbridge, VA 22191-3320 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824568 | Muazzam Farooq | Dentist | 12423 Eden Ln, Woodbridge, VA 22192-6337 | 2019-04-24 |
| 1346778495 | Jeanne Winnie Tchuenbou Conway | Dentist | 4209 Glendale Rd, Woodbridge, VA 22193-2409 | 2017-06-01 |
| 1114378544 | Khattab Uthman Dental Associates | Dentist | 14338 Gideon Dr, Woodbridge, VA 22192-4640 | 2016-06-27 |
| 1174972590 | Admire Dental Care Pllc | Dentist | 14086 Jefferson Davis Highway, Woodbridge, VA 22191-2125 | 2016-06-07 |
| 1558759217 | Rita D. Wright D.m.d Pllc | Dentist | 3985 Prince William Pkwy Ste 103, Woodbridge, VA 22192-7900 | 2015-01-05 |
| 1841692324 | Jamil Sowan | Dentist | 14393 Orange Ct, Woodbridge, VA 22191-2620 | 2014-09-16 |
| 1962811950 | Ansam Zaiber | Dentist | 1693 Burntwood Ct, Woodbridge, VA 22191-1507 | 2014-08-05 |
| 1477896785 | Daniel Dafo | Dentist | 4391 Ridgewood Center Dr Unit 1c, Woodbridge, VA 22192-5399 | 2013-04-04 |
| 1104120286 | Matthew Gerald | Dentist | 1918 Opitz Blvd., Woodbridge, VA 22191 | 2011-01-04 |
| 1215238860 | Dr. Mesfin Zelleke, P.C. | Dentist | 14228 Smoketown Rd, Woodbridge, VA 22192-4708 | 2010-11-14 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
Please comment or provide details below to improve the information on SEBASTIAN BOURONCLE DDS-1 PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.