DR. OLLIE HARDAWAY JR.


Address: 154 Cottonwood Street, Vicksburg, MS 39180
Phone: 6628734593

DR. OLLIE HARDAWAY JR. (NPI# 1063539138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063539138
Entity Type Individual
Full Name DR. OLLIE HARDAWAY JR.
Credential D.D.S.
Practice Address 154 Cottonwood Street
Vicksburg
MS 39180
Mailing Address 113 Rialto St
Vicksburg
MS 39180-6030
Practice Telephone 6628734593
Practice Fax Number 6628734112
Mailing Telephone 6016360834
Enumeration Date 2007-03-23
Last Update Date 2007-12-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 180178 MS Dental Providers
N 1223G0001X Dentist
Specialization: General Practice
180178 MS Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 00660200 05

Office Location

Street Address 154 COTTONWOOD STREET
City VICKSBURG
State MS
Zip Code 39180

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255877346 Elite Performance and Rehab, LLC Clinic/Center 1901 A Mission 66, Vicksburg, MS 39180 2017-01-12
1679931083 Heather M Anderson Physician Assistant 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 2016-02-01
1245604941 Warren County Assn.for Retarded Citizens, Inc. Day Training, Developmentally Disabled Services 100 Smokey Lane, Vicksburg, MS 39180 2015-11-18
1386012904 Brian Oliver Snowden Counselor 3530 Manor Dr Ste 5a, Vicksburg, MS 39180 2015-09-14
1962802710 Jordan P. Crocker, D.m.d., Pllc Clinic/Center 109 Monument Place, Vicksburg, MS 39180 2014-08-29
1821434259 Trisha Addison Physical Therapist 2222 South Frontage Road, Suite D, Vicksburg, MS 39180 2013-05-13
1073862157 Laura Jeanne Briggs Physical Therapist 1901-a Mission 66, Vicksburg, MS 39180 2012-09-05
1912175258 Andrea T. Harris Counselor Warren-yazoo Mental Health Service, 3444 Wisconsin Ave., Vicksburg, MS 39180 2008-02-20
1922217314 Austin Family Dentistry Dentist 3040 Indiana Ave, Vicksburg, MS 39180 2007-05-22
1740353408 Ballard Dental Group Dentist 3040 Indiana Avenue, Vicksburg, MS 39180 2006-11-17
Find all providers in zip 39180

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568623247 H Cornwall Dentist 3005 Washington St, Vicksburg, MS 39180-4966 2008-06-24
1023214921 Aaron C Ford Dentist 602 W Prairie St, Vicksburg, MI 49097-1178 2007-06-26
1558429605 Ellen Marie Tavarone Dentist 602 West Prairie St, Vicksburg, MI 49097 2006-12-04
1023117991 Janet S Fisher Dmd Pa Dentist 1212 Mission 66, Vicksburg, MS 39183 2006-09-21
1598875601 Robert L Dornbos Dds PC Dentist 102 S Main, Vicksburg, MI 49097 2006-08-30
1780178962 Delta Katherine Stout Dentist 1805 Mission 66, Vicksburg, MS 39180-3709 2018-06-20
1972056240 Morgan Dentistry, Pa Dentist 1008 Mission Park Dr, Vicksburg, MS 39180-3735 2016-08-03
1548611098 Kaitlyn Ellis Dentist 1008 Mission Park Dr, Vicksburg, MS 39180-3735 2016-06-27
1174974638 Pierce Mil Morgan Dentist 1008 Mission Park Dr, Vicksburg, MS 39180-3735 2016-06-27
1831322288 John Willey Measells Jr. Dentist 1909 Mission 66, Vicksburg, MS 39180-3711 2009-09-02
Find all providers in VICKSBURG

Competitor

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City VICKSBURG
Zip Code 39180

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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