Individual provider · Type 1 NPI

Terry L. Lake, DMD

General Practice Dentistry · South Charleston, WV

NPI number 1174529903 Active

Practice location

5001 Maccorkle Ave SW
South Charleston, WV 25309-1217

Call (304) 768-5721 Map

Fax (304) 768-6131

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2379WV (WV)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1174529903

Terry L. Lake, DMD's National Provider Identifier is 1174529903, issued on Jun 27, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in South Charleston, WV. The record was last updated on Jul 8, 2007.