Jack W. Haney, D.D.S., P.C.

LBN: Jack W. Haney, D.D.S., P.C.
Jack W. Haney, D.D.S., P.C. is an health care organization with primary practice located at 2315 Technology Dr Ste 101 , O Fallon MO 63368-7371. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is the primary health care specialty. Jack W. Haney, D.D.S., P.C. can be contacted via phone (636) 561-9255, or through Justice, Ty via phone (513) 808-4984.

Contact Information

Primary practice address
2315 Technology Dr Ste 101 O Fallon MO 63368-7371
Phone: (636) 561-9255
Fax: (636) 625-9028
Website:
Map and Directions
Authorized official contact:
Name: Justice, Ty
Phone: (513) 808-4984

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1285104661
LBN Legal business name Jack W. Haney, D.D.S., P.C.
DBA Doing business as
Authorized official Justice, Ty
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2018
Last updated Nov 28th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers