IndividualActive
Ollie Hardaway, D.D.S.
NPI 1063539138 · Dentist · Vicksburg, MS
Ollie Hardaway, D.D.S. is a Dentist provider in Vicksburg, MS (NPI 1063539138).
Provider details
- NPI number
- 1063539138
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 180178 (MS)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
154 Cottonwood Street
Vicksburg, MS 39180
Phone: (662) 873-4593
Fax: (662) 873-4112
Street-level locationGet directions
Mailing address
113 Rialto St
Vicksburg, MS 39180-6030
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2007-12-17
Frequently asked questions
- What is Ollie Hardaway's NPI number?
- Ollie Hardaway's National Provider Identifier (NPI) is 1063539138, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ollie Hardaway's specialty?
- Ollie Hardaway is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Ollie Hardaway located?
- Ollie Hardaway's practice location on file with NPPES is 154 Cottonwood Street, Vicksburg, MS 39180.
- What is Ollie Hardaway's phone number?
- The practice phone number listed in the NPPES registry for Ollie Hardaway is (662) 873-4593.
- Is Ollie Hardaway's NPI active?
- Yes — Ollie Hardaway's NPI (1063539138) is active in the NPPES registry as of the last update on 2007-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.