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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 Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for TERRY H HAKE DDS PC

NPI Number 1104017060
LBN Legal business name TERRY H HAKE DDS PC
Authorized official TERRY HAKE - (OWNER ENDODONTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/06/2007
Last updated 08/06/2007 - About 19 years ago
Identifiers
VA License # 0401008049
VA Medicaid 10153
Other 234929 ANTHEM
Other 166891 UNITED CONCORDIA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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