Jack W. Haney, D.D.S., P.C.
NPI 1124598594 · General Practice Dentistry · Saint Louis, MO
Jack W. Haney, D.D.S., P.C. is a General Practice Dentistry organization in Saint Louis, MO (NPI 1124598594).
Provider details
- NPI number
- 1124598594
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ty Justice, Director, Payer Relations(513) 808-4984
Specialties & taxonomies
Dental Providers
- Dentist122300000X
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Forest Park Dental
Registry dates
- Enumerated
- 2018-11-28
- Last updated
- 2018-11-28
Frequently asked questions
- What is Jack W. Haney, D.D.S., P.C.'s NPI number?
- Jack W. Haney, D.D.S., P.C.'s National Provider Identifier (NPI) is 1124598594, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack W. Haney, D.D.S., P.C.?
- Jack W. Haney, D.D.S., P.C. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Jack W. Haney, D.D.S., P.C. located?
- Jack W. Haney, D.D.S., P.C.'s practice location on file with NPPES is 4527 Forest Park Ave, Saint Louis, MO 63108-2113.
- What is Jack W. Haney, D.D.S., P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Jack W. Haney, D.D.S., P.C. is (314) 367-7200.
- Who is the authorized official for Jack W. Haney, D.D.S., P.C.?
- The authorized official listed on Jack W. Haney, D.D.S., P.C.'s NPPES record is Ty Justice, Director, Payer Relations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack W. Haney, D.D.S., P.C.'s NPI active?
- Yes — Jack W. Haney, D.D.S., P.C.'s NPI (1124598594) is active in the NPPES registry as of the last update on 2018-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.