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JACK W. HANEY, D.D.S., P.C.
NPI 1124598594
Dentist - General Practice in Saint Louis, MO

Active since November 28, 2018
4527 FOREST PARK AVE, SAINT LOUIS, MO 63108(314) 367-7200(314) 367-0508 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

Official registry information on file with the National Plan and Provider Enumeration System.

JACK W. HANEY, D.D.S., P.C. (NPI 1124598594), doing business as Forest Park Dental, is a healthcare organization registered as a general practice in Saint Louis, Missouri and active in the NPI registry since November 2018. The organization lists Ty Justice, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1124598594
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJACK W. HANEY, D.D.S., P.C.
Location Address4527 FOREST PARK AVESaint Louis, MO 63108-2113
Mailing Address9825 Kenwood Rd Ste 200Blue Ash, OH 45242-6252 · (513) 808-4984 · Fax (513) 448-0511
Phone(314) 367-7200
Fax(314) 367-0508
Organization SubpartNo
Authorized OfficialTy JusticeDirector, Payer Relations · (513) 808-4984
Enumeration DateNovember 28, 2018
✔ NPI 1124598594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
Also ListedDentistTaxonomy 122300000X
4527 FOREST PARK AVE, Saint Louis, MO 63108
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Other Names 1

Doing Business AsForest Park Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIC J AUBERT DMD
Dentist (General Practice)
4527 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 367-7200
DR. RYAN MICHAEL MULLIGAN DDS
Dentist (General Practice)
4527 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 367-7200
RAZA SIDDIQUI DMD
Dentist (General Practice)
4527 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 858-5750
RYAN MCCORMICK
Dentist (General Practice)
4527 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 858-5750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack W. Haney, D.D.S., P.C.'s NPI number?

The NPI number for Jack W. Haney, D.D.S., P.C. is 1124598594. It was assigned to this organization in the NPPES registry on November 28, 2018. The provider is doing business as Forest Park Dental.

Where is Jack W. Haney, D.D.S., P.C. located?

Jack W. Haney, D.D.S., P.C. is located at 4527 Forest Park Ave, Saint Louis, MO 63108. The listed phone number is (314) 367-7200.

What is Jack W. Haney, D.D.S., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jack W. Haney, D.D.S., P.C. accept?

Health plans from UnitedHealthcare list Jack W. Haney, D.D.S., P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack W. Haney, D.D.S., P.C. was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.