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

Jack W. Haney, DDS, PC

Organization Dentist · NPI 1316579113

Jack W. Haney, DDS, PC is a Dentist in Saint Peters, Missouri. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1455 Triad Center Dr Ste A
Saint Peters, MO 63376-7359
Phone: (636) 928-5550
Fax: (636) 928-8433
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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 number1316579113
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ty Justice — Director, Payer Relations · (513) 808-4984
Other names Excellence In Dentistry
NPI enumeratedFebruary 10, 2020
Last updated in NPPESFebruary 4, 2021
Certification dateFebruary 4, 2021
Mailing address9825 Kenwood Rd Ste 200, Blue Ash, OH 45242-6252

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