Sebastian M Bouroncle DDS-2 Stafford PLLC
NPI 1073057741ActiveOrganization· Dentist, General Practice· Stafford, VA
Dentist, General Practice in Stafford, Virginia, registered in NPPES in December 2016. The authorized official on file is Wendy Tavara, Office Manager.
Overview
| NPI | 1073057741 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2016 |
| Last updated in NPPES | Dec 14, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 0401411466 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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