National Provider Identifier Database

TERRY H HAKE DDS PC
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

TERRY H HAKE DDS PC
1761 JAMESTOWN ROAD
SUITE 102
WILLIAMSBURG, VA23185
Phone: 757-229-4115
Fax: 757-229-8297
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for TERRY H HAKE DDS PC

NPI Number 1104017060
Legal business name
LBN
TERRY H HAKE DDS PC
Authorized official TERRY HAKE - (OWNER ENDODONTIST)
Entity Organization
Organization subpart No
Enumeration date 08/06/2007
Last updated 08/06/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0401008049
  • VA Medicaid: 10153
  • Other: 234929 ANTHEM
  • Other: 166891 UNITED CONCORDIA

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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