Hake, Terry H

Hake, Terry H is an individual health care provider with primary practice located at 1761 Jamestown Road Ste 102, Williamsburg VA 23185. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Hake, Terry H can be contacted via phone (757) 229-4115.

Contact Information

Primary practice address
1761 Jamestown Road Ste 102 Williamsburg VA 23185
Phone: (757) 229-4115
Fax: (757) 229-8297
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401008049 Virginia
Dental Providers / Endodontics 1223E0200X 0401008049 Virginia

Profile Details

NPI number 1457464729
LBN Legal business name Hake, Terry H
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Aug 2nd, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457464729 NPPES
Virginia MEDICAID 10153
Virginia Other 234929
Virginia Other 166891

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