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DR. OLLIE HARDAWAY JR. D.D.S.
NPI 1063539138
Dentist in Vicksburg, MS

Active since March 23, 2007
154 COTTONWOOD STREET, VICKSBURG, MS 39180(662) 873-4593(662) 873-4112 Get Directions Write a Review

NPPES record last updated: December 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ollie Hardaway Jr. D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. OLLIE HARDAWAY JR. D.D.S. (NPI 1063539138) is an individual dentist in Vicksburg, Mississippi, licensed in Mississippi (180178) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1063539138
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. OLLIE HARDAWAY JR.Credential: D.D.S.
Location Address154 COTTONWOOD STREETVicksburg, MS 39180
Mailing Address113 Rialto StVicksburg, MS 39180-6030 · (601) 636-0834
Phone(662) 873-4593
Fax(662) 873-4112
Sole ProprietorNo
Enumeration DateMarch 23, 2007
Last NPPES UpdateDecember 17, 2007
✔ NPI 1063539138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MS · 180178
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 180178 (MS)
154 COTTONWOOD STREET, Vicksburg, MS 39180
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Other Identifiers 1

Medicaid00660200MS

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ollie Hardaway's NPI number?

The NPI number for Ollie Hardaway is 1063539138. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Ollie Hardaway located?

Ollie Hardaway practices at 154 Cottonwood Street, Vicksburg, MS 39180. The listed phone number is (662) 873-4593.

What is Ollie Hardaway's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Ollie Hardaway was last updated on December 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.