Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Ridge Endodontics

Organization Endodontics · NPI 1205933405

Lake Ridge Endodontics is an Endodontics in Woodbridge, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006

Practice location Address checks out

12510 C Lake Ridge Dr
Woodbridge, VA 22192-2335
Phone: (703) 494-8624
Fax: (703) 497-1258
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 041007464 (VA)

Record details

NPI number1205933405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Wynkoop — Owner/Endodotontist · (703) 494-8624
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 9, 2008
Mailing address12510 Lake Ridge Dr Ste C, Lake Ridge, VA 22192-7501

Other providers in Woodbridge