What is Terry Lake's NPI number?

Terry Lake's National Provider Identifier (NPI) is 1174529903, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Terry Lake's specialty?

Terry Lake is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Terry Lake located?

Terry Lake's practice location on file with NPPES is 5001 Maccorkle Ave Sw, South Charleston, WV 25309-1217.

What is Terry Lake's phone number?

The practice phone number listed in the NPPES registry for Terry Lake is (304) 768-5721.

Is Terry Lake's NPI active?

Yes — Terry Lake's NPI (1174529903) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Terry Lake, D.M.D.

NPI 1174529903 · General Practice Dentistry · South Charleston, WV

Terry Lake, D.M.D. is a General Practice Dentistry provider in South Charleston, WV (NPI 1174529903).

Provider details

NPI number: 1174529903
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: D.M.D.
Sex: Male
Sole proprietor: No
License: 2379WV (WV)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 2379WV (WV)
Dental Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

5001 Maccorkle Ave Sw

South Charleston, WV 25309-1217

Phone: (304) 768-5721

Fax: (304) 768-6131

Street-level locationGet directions

More WV providers

Mailing address