Jack W. Haney, DDS, PC
Jack W. Haney, DDS, PC is a Dentist in Saint Louis, Missouri. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4527 Forest Park AveSaint Louis, MO 63108-2113
Phone: (314) 367-7200
Fax: (314) 367-0508
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|---|
| Dentist | Taxonomy 122300000X |
Record details
| NPI number | 1124598594 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ty Justice — Director, Payer Relations · (513) 808-4984 |
| Other names | Forest Park Dental |
| NPI enumerated | November 28, 2018 |
| Last updated in NPPES | November 28, 2018 |
| Mailing address | 9825 Kenwood Rd Ste 200, Blue Ash, OH 45242-6252 |
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