VA Smiles Dental Center PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

VA SMILES DENTAL CENTER PLLC

Practice address

10608 Leavells Rd
Fredericksburg, VA 22407-1256

Phone

(540) 710-6000

NPI assigned

Jan 17, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victoria Johnson

Title

Cro

Phone

(941) 444-0558

Specialties & licenses 1

Addresses

Other names 1

• Dental Care Alliance Other name

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sebastian M Bouroncle, DDS

  • General Practice Dentistry
  • Stafford, VA
  • NPI 1932245511
  NPD (past)
• Kouros Hedayati, DDS

  • Dentist
  • Fairfax, VA
  • NPI 1538322375
  NPD (past)
• Bindi Patel, DDS

  • General Practice Dentistry
  • Ashburn, VA
  • NPI 1639350937
  NPD (past)
• Jessica Paola Sugajara Mitsuzuka, D.D.S.

  • Dentist
  • Stafford, VA
  • NPI 1538392162
  NPD (past)
• Kambiz Khalilinejad, DMD

  • Dentist
  • Downey, CA
  • NPI 1790296986
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1245945989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10608 LEAVELLS RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224071256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10608 LEAVELLS RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224071256",
            "telephone_number": "540-710-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 Garrisonville Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225541599",
            "country_code": "US",
            "telephone_number": "540-657-7645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Plantation Dr Ste 139F",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224066493",
            "country_code": "US",
            "telephone_number": "540-368-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VA SMILES DENTAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CRO",
        "authorized_official_telephone_number": "941-444-0558"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care Alliance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bryan Scott Urquhart, PA-C
• Sunitha S Urs, M.D
• US Orthotics & Prosthetics, Inc.
• Usv Optical Inc.
• Beverly Uzoho, LCSW
• VA Southern Dental PPO PC
• VA-I Medical Services PC
• Brooke Vaillancourt
• Valdivia Dental LLC
• Megan Marie Valentine, BCBA, LBA

• Dentist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.