Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Terry L Lake, DMD

Individual provider General Practice Dentistry · NPI 1174529903

Dr. Terry L Lake, DMD is a General Practice Dentistry in South Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2005.

Licensed in
WV
In the registry since
2005
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5001 Maccorkle Ave SW
South Charleston, WV 25309-1217
Phone: (304) 768-5721
Fax: (304) 768-6131
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2379WV (WV)

Record details

NPI number1174529903
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 27, 2005
Last updated in NPPESJuly 8, 2007

Other providers in South Charleston