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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00660200 | 05 |
Street Address |
154 COTTONWOOD STREET |
City | VICKSBURG |
State | MS |
Zip Code | 39180 |
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 Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
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 |
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 |
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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.