Lake Ridge Endodontics is a Endodontics Clinic in Woodbridge, Virginia. It is located at 12510 C Lake Ridge Dr, Woodbridge, VA and its contact number is 703-494-8624. The authorized person for Lake Ridge Endodontics is Dr. Todd E Wynkoop
who is Owner/endodotontist of the clinic and their contact number is 703-494-8624. The primary license number for Lake Ridge Endodontics is 041007464 (Endodontics) in Virginia. Lake Ridge Endodontics Clinic deals with the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Complete Clinic Profile:
Lake Ridge Endodontics Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Lake Ridge Endodontics
Specialization:
Endodontics
Clinic Address:
12510 C Lake Ridge Dr, Woodbridge, Virginia, 22192-2335
Phone:
703-494-8624
Fax:
703-497-1258
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Todd E Wynkoop
Position:
Owner/endodotontist
Contact Number:
703-494-8624
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lake Ridge Endodontics clinic are as mentioned below.
NPI Number:
1205933405
NPI Enumeration Date:
20 Sep, 2006
NPI Last Update On:
09 Jul, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Ridge Endodontics are as mentioned below.
Specialization
License Number
State
Status
Endodontics
041007464
Virginia
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
872859
Other
United Concordia
174982
Other
Blue Cross Blue Shield
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lake Ridge Endodontics 12510 Lake Ridge Dr Ste C, Lake Ridge, Virginia
Zip:
22192-7501
Phone Number:
703-494-8624
Fax Number:
703-497-1258
Patients can reach Lake Ridge Endodontics at 12510 C Lake Ridge Dr, Woodbridge, Virginia or can call to book an appointment on 703-494-8624. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.