DR. TERRY L LAKE D.M.D.
NPI 1174529903
Dentist - General Practice in South Charleston, WV

Q: What is Terry Lake's NPI number?

The NPI number for Terry Lake is 1174529903. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Q: What is Terry Lake's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Terry Lake was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 27, 2005

5001 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309(304) 768-5721(304) 768-6131 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Terry L Lake D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TERRY L LAKE D.M.D. (NPI 1174529903) is an individual general practice provider in South Charleston, West Virginia, licensed in West Virginia (2379WV) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1174529903

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TERRY L LAKECredential: D.M.D.

Location Address5001 MACCORKLE AVE SWSouth Charleston, WV 25309-1217

Mailing Address5001 Maccorkle Ave SwSouth Charleston, WV 25309-1217 · (304) 768-5721 · Fax (304) 768-6131

Phone(304) 768-5721

Fax(304) 768-6131

Sole ProprietorNo

Enumeration DateJune 27, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1174529903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WV · 2379WV

Definition

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.

5001 MACCORKLE AVE SW, South Charleston, WV 25309

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terry Lake's NPI number?

The NPI number for Terry Lake is 1174529903. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Terry Lake located?

Terry Lake practices at 5001 Maccorkle Ave SW, South Charleston, WV 25309. The listed phone number is (304) 768-5721.

What is Terry Lake's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Terry Lake was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.