What is Lake Ridge Endodontics's NPI number?

Lake Ridge Endodontics's National Provider Identifier (NPI) is 1205933405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Lake Ridge Endodontics?

Lake Ridge Endodontics is classified in the NPPES registry as Endodontics (Dental Providers).

Where is Lake Ridge Endodontics located?

Lake Ridge Endodontics's practice location on file with NPPES is 12510 C Lake Ridge Dr, Woodbridge, VA 22192-2335.

What is Lake Ridge Endodontics's phone number?

The practice phone number listed in the NPPES registry for Lake Ridge Endodontics is (703) 494-8624.

Who is the authorized official for Lake Ridge Endodontics?

The authorized official listed on Lake Ridge Endodontics's NPPES record is Todd Wynkoop, Owner/Endodotontist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Lake Ridge Endodontics's NPI active?

Yes — Lake Ridge Endodontics's NPI (1205933405) is active in the NPPES registry as of the last update on 2008-07-09.

OrganizationActive

Lake Ridge Endodontics

NPI 1205933405 · Endodontics · Woodbridge, VA

Lake Ridge Endodontics is a Endodontics organization in Woodbridge, VA (NPI 1205933405).

Provider details

NPI number: 1205933405
Entity type: Organization
Primary specialty: EndodonticsDental Providers
Organization subpart: No
Authorized official: Todd Wynkoop, Owner/Endodotontist(703) 494-8624
License: 041007464 (VA)

Practice location

12510 C Lake Ridge Dr

Woodbridge, VA 22192-2335

Phone: (703) 494-8624

Fax: (703) 497-1258

Street-level locationGet directions

More VA providers

Mailing address

12510 Lake Ridge Dr Ste C

Lake Ridge, VA 22192-7501

Specialties & taxonomies

EndodonticsPrimary1223E0200XLicense 041007464 (VA)
Dental Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2006-09-20
Last updated: 2008-07-09

Frequently asked questions

What is Lake Ridge Endodontics's NPI number?: Lake Ridge Endodontics's National Provider Identifier (NPI) is 1205933405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Lake Ridge Endodontics?: Lake Ridge Endodontics is classified in the NPPES registry as Endodontics (Dental Providers).
Where is Lake Ridge Endodontics located?: Lake Ridge Endodontics's practice location on file with NPPES is 12510 C Lake Ridge Dr, Woodbridge, VA 22192-2335.
What is Lake Ridge Endodontics's phone number?: The practice phone number listed in the NPPES registry for Lake Ridge Endodontics is (703) 494-8624.
Who is the authorized official for Lake Ridge Endodontics?: The authorized official listed on Lake Ridge Endodontics's NPPES record is Todd Wynkoop, Owner/Endodotontist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Lake Ridge Endodontics's NPI active?: Yes — Lake Ridge Endodontics's NPI (1205933405) is active in the NPPES registry as of the last update on 2008-07-09.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions