| Jack W. Haney, D.d.s., P.c. | |
|
1455 Triad Center Dr Ste A Saint Peters MO 63376-7359 | |
| (636) 928-5550 | |
| (636) 928-8433 |
| Full Name | Jack W. Haney, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1455 Triad Center Dr Ste A, Saint Peters, 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) 609-4076 | Jack W. Haney, D.d.s., P.c. 1455 Triad Center Dr Ste A Saint Peters MO 63376-7359 Ph: (636) 928-5550 |
| NPI Number | 1316579113 |
|---|---|
| Provider Enumeration Date | 02/10/2020 |
| Last Update Date | 02/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316579113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Cb Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1406 Triad Center Dr, Saint Peters, MO 63376 Phone: 636-441-7440 | |
T.s. Bogusky, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4125 Mexico Rd, Saint Peters, MO 63376 Phone: 636-447-4080 Fax: 636-447-5764 | |
Ikhlaq-rosinski Dental Partners Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4125 Mexico Rd, Saint Peters, MO 63376 Phone: 312-800-1270 | |
Missouri Dental Professionals, Richard Straus, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Piper Hill Dr, Saint Peters, MO 63376 Phone: 636-477-1000 Fax: 636-477-8962 | |
Drs. Kraner And Yusman Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6223 Mid Rivers Mall Dr, Saint Peters, MO 63304 Phone: 636-441-9400 Fax: 636-441-1664 | |
Tanner Brown Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 Miralago Shore Dr, Saint Peters, MO 63376 Phone: 636-928-4090 | |
Alex R. Sharifian, Dds, Dentists Of St. Peters, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7080 Mexico Rd, Saint Peters, MO 63376 Phone: 636-362-6723 |