National Provider Identifier Database

TODD E WYNKOOP, DDS – NPI #1265446561
Endodontics

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.


Contact Information

TODD E WYNKOOP, DDS
12510 LAKE RIDGE DR STE C
WOODBRIDGE, VA22192-7501
Phone: 703-494-8624
Fax: 703-497-1258
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for TODD E WYNKOOP

NPI Number 1265446561
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/29/2006
Last updated 07/15/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • VA License #: 0401007464
  • PA Other: 872859 UNITED CONCORDIA
  • VA Other: 0401007464 BLUE CROSS BLUE SHIELD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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