Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Jack W. Haney, D.D.S., P.C.

General Practice Dentistry in Saint Peters, MO · enumerated 2020 · authorized official Ty Justice, Director, Payer Relations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316579113

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Registry record

Entity type Organization (Type 2)

Legal business name Jack W. Haney, D.D.S., P.C.

Other name <Unavail>

Practice address 1455 Triad Center Dr Ste A, Saint Peters, MO, 63376

Phone (636) 928-5550

Fax (636) 928-8433

Enumeration date Feb 10, 2020

Last updated in NPPES Feb 4, 2021

Taxonomy & classification

122300000X Dentist Dental Providers Secondary

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Ty Justice

Title Director, Payer Relations

Phone (513) 808-4984

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-02-04. Verify at npiregistry.cms.hhs.gov.

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

The practice location on file with NPPES is in Saint Peters, MO.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-02-04.