TERRY H HAKE DDS PC NPI 1104017060

NPI Information

  • NPI: 1104017060
  • Provider Name: TERRY H HAKE DDS PC
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Address: 1761 JAMESTOWN ROAD
    SUITE 102
    WILLIAMSBURG, VA
    ZIP 23185
  • Phone: (757) 229-4115

Map and Directions

Get Directions

NPI Details

TERRY H HAKE DDS PC is an endodontics dentist in Williamsburg, VA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. TERRY H HAKE DDS PC NPI is 1104017060. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1761 JAMESTOWN ROAD
SUITE 102
WILLIAMSBURG, VA
ZIP 23185
Phone: (757) 229-4115
Fax: (757) 229-8297

The provider's authorized official is Terry Henry Hake .
The authorized official title is Owner Endodontist and has the following contact phone number (757) 229-4115.

The enumeration date for this NPI number is 8/6/2007 and was last updated on 8/6/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodontics0401008049VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
110153MEDICAIDVIRGINIA
2166891OTHERUNITED CONCORDIA
3234929OTHERANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI