Wynkoop, Todd E
Wynkoop, Todd E is an sole proprietor health care provider with primary practice located at 12510 Lake Ridge Dr Ste C , Woodbridge VA 22192-7501. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Wynkoop, Todd E can be contacted via phone (703) 494-8624.Contact Information
Primary practice address
12510 Lake Ridge Dr Ste C
Woodbridge VA 22192-7501
Phone: (703) 494-8624
Fax: (703) 497-1258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 0401007464 | Virginia |
Profile Details
| NPI number | 1265446561 |
|---|---|
| LBN Legal business name | Wynkoop, Todd E |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2006 |
| Last updated | Jul 15th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265446561 | NPPES |
| Virginia | Other | 0401007464 | BLUE CROSS BLUE SHIELD |
| Virginia | Other | 872859 | BLUE CROSS BLUE SHIELD |
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