Organization · Type 2 NPI

Jack W. Haney, D.d.s., P.c.

General Practice Dentistry · St. Louis, MO

NPI number 1124598594 Active

Practice location

4527 Forest Park Ave
St. Louis, MO 63108-2113

Call (314) 367-7200 Map

Fax (314) 367-0508

Mailing address

9825 Kenwood Rd Ste 200
Blue Ash, OH 45242-6252

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNone listed
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4 other providers at this address

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About NPI 1124598594

Jack W. Haney, D.d.s., P.c.'s National Provider Identifier is 1124598594, issued on Nov 28, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Louis, MO. The record was last updated on Nov 28, 2018.