| Jack W. Haney, D.d.s., P.c. | |
|
4527 Forest Park Ave Saint Louis MO 63108-2113 | |
| (314) 367-7200 | |
| (314) 367-0508 |
| Full Name | Jack W. Haney, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4527 Forest Park Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Ty Justice (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Contact | 5138084984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack W. Haney, D.d.s., P.c. 9825 Kenwood Rd Ste 200 Blue Ash OH 45242-6252 Ph: (513) 808-4984 | Jack W. Haney, D.d.s., P.c. 4527 Forest Park Ave Saint Louis MO 63108-2113 Ph: (314) 367-7200 |
| NPI Number | 1124598594 |
|---|---|
| Provider Enumeration Date | 11/28/2018 |
| Last Update Date | 11/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124598594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Joseph And Nina Zeigler, D.m.d.s, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2821 N Ballas Rd, Suite 200, Saint Louis, MO 63131 Phone: 314-872-7590 | |
Jason L Allen Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5147 Daggett Ave, Saint Louis, MO 63110 Phone: 314-776-7800 | |
Deborah Long Coon Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Francis Pl, Ste 302, Saint Louis, MO 63105 Phone: 314-726-5553 Fax: 314-726-6663 | |
Missouri Dental Professionals, Richard Straus, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1544 Sierra Vista Plz, Saint Louis, MO 63138 Phone: 314-355-5700 | |
Garden Heights Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 S Big Bend Blvd, Saint Louis, MO 63117 Phone: 314-645-1225 | |
Carestl Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 Pope Ave, Saint Louis, MO 63115 Phone: 314-385-3990 Fax: 314-389-2464 | |
Thomas Kennedy, Dds Of Missouri Ii, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9960 Kennerly Rd Ste B, Saint Louis, MO 63128 Phone: 314-849-2760 |