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Dr. Terry L Lake, DMD
General Practice Dentistry in South Charleston, West Virginia
NPI 1174529903

Terry L Lake is a General Practice Dentistry based in South Charleston, WV and is specialized in General Practice. Terry L Lake practices in South Charleston, WV and has the professional credentials of DMD. The NPI Number for Terry L Lake is 1174529903 and holds a License No. 2379WV (West Virginia).

The current practice location address for Terry L Lake is 5001 Maccorkle Ave Sw, South Charleston, WV and can be reached out via phone at 304-768-5721 and via fax at 304-768-6131.

Location: 5001 Maccorkle Ave Sw, South Charleston, WV, 25309-1217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174529903
Provider Name
Terry L Lake
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
5001 Maccorkle Ave Sw, South Charleston, WV, 25309-1217
Phone Number
304-768-5721
Fax Number
304-768-6131
Provider Enumeration Date
06/27/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5001 Maccorkle Ave Sw
City
South Charleston
State
West Virginia
Zip
25309-1217
Phone Number
304-768-5721
Fax Number
304-768-6131
person
Provider Business Mailing Address Details
Address
5001 Maccorkle Ave Sw
City
South Charleston
State
West Virginia
Zip
25309-1217
Phone Number
304-768-5721
Fax Number
304-768-6131
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2379WV (West Virginia)
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.
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