Sebastian Bouroncle DDS-1 PLLC
NPI 1740667799ActiveOrganization· Dentist· Woodbridge, VA
Dentist in Woodbridge, Virginia, registered in NPPES in April 2015. The authorized official on file is Virginia T. De Castro, Office Manager.
Overview
| NPI | 1740667799 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 29, 2015 |
| Last updated in NPPES | Apr 29, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 15L05992 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Other dentists in Woodbridge
- 1053501205
- 1063434454
- 1124115761
- 1366771792
- 1386745644
- 1396057410
- 1477232254
- 1477896785
- 1518272962
- 1548824568
- 1578051629
- 1619054624