JACK W. HANEY, D.D.S., P.C.
NPI 1285104661
Dentist - General Practice in O Fallon, MO

Q: 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 1285104661. It was assigned to this organization in the NPPES registry on November 28, 2018. The provider is doing business as Winghaven Dental.

Q: 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.

Active since November 28, 2018

2315 TECHNOLOGY DR STE 101, O FALLON, MO 63368(636) 561-9255(636) 625-9028 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

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 1285104661), doing business as Winghaven Dental, is a healthcare organization registered as a general practice in O Fallon, 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

NPI1285104661

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameJACK W. HANEY, D.D.S., P.C.

Location Address2315 TECHNOLOGY DR STE 101O Fallon, MO 63368-7371

Mailing Address9825 Kenwood Rd Ste 200Blue Ash, OH 45242-6252 · (513) 609-4076 · Fax (513) 448-0511

Phone(636) 561-9255

Fax(636) 625-9028

Organization SubpartNo

Authorized OfficialTy JusticeDirector, Payer Relations · (513) 808-4984

Enumeration DateNovember 28, 2018

✔ NPI 1285104661 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

2315 TECHNOLOGY DR STE 101, O Fallon, MO 63368

Open in Google Maps ↗

Other Names 1

Doing Business AsWinghaven 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

Other Providers at the Same Location NPPES

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

DR. JOHN MARSHALL III DMD

Dentist

2315 TECHNOLOGY DR STE 101
O FALLON, MO 63368

St. Charles County (636) 561-9255

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 1285104661. It was assigned to this organization in the NPPES registry on November 28, 2018. The provider is doing business as Winghaven Dental.

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

Jack W. Haney, D.D.S., P.C. is located at 2315 Technology Dr Ste 101, O Fallon, MO 63368. The listed phone number is (636) 561-9255.

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.

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.