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)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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.
Practice location
12510 C Lake Ridge Dr
Woodbridge, VA 22192-2335
Phone: (703) 494-8624
Fax: (703) 497-1258
Street-level locationGet directions
Mailing address
12510 Lake Ridge Dr Ste C
Lake Ridge, VA 22192-7501
Registry dates
- 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.