Terry H Hake DDS PC
Terry H Hake DDS PC is a healthcare organization registered as Endodontics in Williamsburg, VA, holding Type 2 (organization) NPI 1104017060 since 2007. The authorized official on file is Terry Hake, Owner Endodontist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104017060 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Terry H Hake DDS PC |
| Practice address | 1761 JAMESTOWN ROAD, SUITE 102, Williamsburg, VA, 23185 |
| Phone | 7572294115 |
| Fax | 7572298297 |
| Enumeration date | 2007-08-06 |
| Last updated in NPPES | 2007-08-06 |
Authorized official
| Name | Terry Hake |
|---|---|
| Title | Owner Endodontist |
| Phone | 7572294115 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223E0200X | Endodontics | Primary | 0401008049 | VA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 234929 | Other | — | ANTHEM |
| 166891 | Other | — | UNITED CONCORDIA |
| 10153 | Medicaid | VA | — |
Copy-ready billing details
Provider: Terry H Hake DDS PC NPI: 1104017060 Taxonomy: 1223E0200X (Endodontics) Address: 1761 JAMESTOWN ROAD, SUITE 102, Williamsburg, VA, 23185
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1073862231 | Supreme Helpers Healthcare Corporation | Organization | Respite Care | Williamsburg, VA |
Verify this record
Cross-check NPI 1104017060 against the authoritative CMS record: view Terry H Hake DDS PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Terry H Hake DDS PC?
Who is the authorized official for Terry H Hake DDS PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-08-06.