Terry H Hake Dds Pc in Williamsburg - Endodontics
Terry H Hake Dds Pc - NPI 1104017060
Terry H Hake Dds Pc is a Endodontics in Williamsburg, Virginia. Terry H Hake Dds Pc practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Terry H Hake Dds Pc is 1104017060. The last update date is 2007-08-06.
Terry H Hake Dds Pc's current location address is 1761 Jamestown Road, Williamsburg, Virginia. You can contact this provider via phone number 7572294115 and fax number 7572298297. The mailing address for Terry H Hake Dds Pc is 1761 Jamestown Road, Williamsburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Terry H Hake Dds Pc |
|---|---|
| Address | 1761 Jamestown Road, Williamsburg, Virginia |
| Phone Number | 7572294115 |
| Fax Number | 7572298297 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER ENDO |
|---|---|
| Authorized Official Name | Hake Henry Terry |
| Credentials | DDS |
| Telephone Number | 7572294115 |
NPI Number Detail
| NPI Number | 1104017060 |
|---|---|
| Provider Enumeration Date | 2007-08-06 |
| Last Updated Date | 2007-08-06 |
Provider Mailing Address Detail
| Address | 1761 Jamestown Road |
|---|---|
| City | Williamsburg |
| State | Virginia (VA) |
| Post Code | 23185 |
| Phone Number | 7572294115 |
| Fax Number | 7572298297 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 401008049 |
|
Definition: 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 eti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 234929 | ANTHEM | ||
| 166891 | UNITED CONCORDIA | ||
| 10153 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Terry H Hake Dds Pc by the Centers for Medicare & Medicaid Services?
The Terry H Hake Dds Pc has been assigned the NPI (National Provider Identifier) 1104017060. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Terry H Hake Dds Pc's physical address?
The Terry H Hake Dds Pc is physically located at 1761 Jamestown Road, in the city of Williamsburg, VA, with the postal code 23185.
What is the Terry H Hake Dds Pc's specialty and taxonomy code?
The Terry H Hake Dds Pc's specialty is Endodontics, and the corresponding taxonomy code is 1223E0200X.
On what date was the 1104017060 assigned to Terry H Hake Dds Pc?
The Terry H Hake Dds Pc was issued its 1104017060 on 2007-08-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Terry H Hake Dds Pc most recently updated or revised?
The information pertaining to Terry H Hake Dds Pc, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-06.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC