# JACK W. HANEY, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154503548
- **Authorized official:** DR. JACK W HANEY D.D.S. (DENTIST/OWNER)
- **Authorized official phone:** (865) 693-6886

## Contact information

- **Practice address:** 117 HUXLEY RD, SUITE C, KNOXVILLE, TN 37922-3179
- **Practice address phone:** (865) 693-6886
- **Practice address fax:** (865) 693-0891
- **Mailing address:** 117 HUXLEY RD, SUITE C, KNOXVILLE, TN 37922-3179
- **Mailing address phone:** (865) 693-6886
- **Mailing address fax:** (865) 693-0891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS7287 | TN | Yes |

## Other

- **Enumeration date:** 11/28/2007
- **Last updated:** 11/28/2007