Lake, Terry L
Lake, Terry L is an individual health care provider with primary practice located at 5001 Maccorkle Ave Sw , South Charleston WV 25309-1217. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lake, Terry L can be contacted via phone (304) 768-5721.Contact Information
Primary practice address
5001 Maccorkle Ave Sw
South Charleston WV 25309-1217
Phone: (304) 768-5721
Fax: (304) 768-6131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2379WV | West Virginia |
Profile Details
| NPI number | 1174529903 |
|---|---|
| LBN Legal business name | Lake, Terry L |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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.
Popular Providers
-
Armstead, Angela Beth
3414 Pennsylvania Ave , Charleston WV 25302-4633 -
Zegeer, John Edward
504 50Th St Se , Charleston WV 25304-2024 -
Puderbaugh, Monica Renee
308 C St , South Charleston WV 25303-1219 -
Chapman, Joshua Patrick
308 C St , South Charleston WV 25303-1219 -
Vance, Alan Kelso
1031 Quarrier St Suite 502 , Charleston WV 25301 -
Majestro, Philip M
830 Oakwood Rd , Charleston WV 25314-2010 -
Kennedy, Charles A.
1000 Parkway Rd , South Charleston WV 25309-9418 -
Kessler, Eric
75 Rhl , South Charleston WV 25309-8276