Organization
JACK W. HANEY, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK W HANEY D.D.S. (DENTIST/OWNER)
(865) 693-6886
Entity
Organization
Contact information
Practice address
117 HUXLEY RD, SUITE C, KNOXVILLE, TN 37922-3179
(865) 693-6886
(865) 693-0891
Mailing address
117 HUXLEY RD, SUITE C, KNOXVILLE, TN 37922-3179
(865) 693-6886
(865) 693-0891
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS7287
TN
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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