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Dr. Ollie Hardaway JR., DDS
General Practice Dentistry in Vicksburg, Mississippi
NPI 1063539138

Ollie Hardaway JR. is a General Practice Dentistry based in Vicksburg, MS and is specialized in General Practice. Ollie Hardaway JR. practices in Vicksburg, MS and has the professional credentials of DDS. The NPI Number for Ollie Hardaway JR. is 1063539138 and holds a License No. 180178 (Mississippi).

The current practice location address for Ollie Hardaway JR. is 154 Cottonwood Street, Vicksburg, MS and can be reached out via phone at 662-873-4593 and via fax at 662-873-4112. You can also correspond with Ollie Hardaway JR. through the mailing address at 113 RIALTO ST, VICKSBURG, MS - 39180-6030 (mailing address contact number: 601-636-0834).

Location: 154 Cottonwood Street, Vicksburg, MS, 39180-6030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063539138
Provider Name
Ollie Hardaway JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
154 Cottonwood Street, Vicksburg, MS, 39180-6030
Phone Number
662-873-4593
Fax Number
662-873-4112
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00660200 05 MS
institution
Provider Business Practice Location Address Details
Address
154 Cottonwood Street
City
Vicksburg
State
Mississippi
Zip
39180
Phone Number
662-873-4593
Fax Number
662-873-4112
person
Provider Business Mailing Address Details
Address
113 Rialto St
City
Vicksburg
State
Mississippi
Zip
39180-6030
Phone Number
601-636-0834
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
180178 (Mississippi)
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
180178 (Mississippi)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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