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

Jack W. Haney, DDS, PC

Organization Dentist · NPI 1285104661

Jack W. Haney, DDS, PC is a Dentist in O Fallon, 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.

See every abbreviation used in this directory →

Practice location Address checks out

2315 Technology Dr Ste 101
O Fallon, MO 63368-7371
Phone: (636) 561-9255
Fax: (636) 625-9028
Show map & directions

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 number1285104661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ty Justice — Director, Payer Relations · (513) 808-4984
Other names Winghaven Dental
NPI enumeratedNovember 28, 2018
Last updated in NPPESNovember 28, 2018
Mailing address9825 Kenwood Rd Ste 200, Blue Ash, OH 45242-6252

Other providers in O Fallon