| Dr Ollie Hardaway Jr, DDS | |
|
154 Cottonwood Street, Vicksburg, MS 39180 | |
| (662) 873-4593 | |
| (662) 873-4112 |
| Full Name | Dr Ollie Hardaway Jr |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 154 Cottonwood Street, Vicksburg, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063539138 | NPI | - | NPPES |
| 00660200 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 180178 (Mississippi) | Primary |
| 1223G0001X | Dentist - General Practice | 180178 (Mississippi) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ollie Hardaway Jr, DDS 113 Rialto St, Vicksburg, MS 39180-6030 Ph: (601) 636-0834 | Dr Ollie Hardaway Jr, DDS 154 Cottonwood Street, Vicksburg, MS 39180 Ph: (662) 873-4593 |
Roderick L Coleman, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 120 Holt Collier Dr, Suite D, Vicksburg, MS 39183 Phone: 601-619-4777 Fax: 601-619-4667 | |
Jimmy F Vessell, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1011 Mission 66, Vicksburg, MS 39183 Phone: 601-636-6081 Fax: 601-638-5482 | |
Dr. Margaret Ellzey-nichols, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 1212 Mission 66, Vicksburg, MS 39183 Phone: 601-636-5321 Fax: 601-636-5321 | |
Mr. Pierce Mil Morgan, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 1008 Mission Park Dr, Vicksburg, MS 39180 Phone: 601-629-4101 | |
Dr. Paul Edward Ballard, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3040 Indiana Ave, Vicksburg, MS 39180 Phone: 601-634-6277 Fax: 601-634-0153 | |
Dr. Robert A Sadler, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1016 Mission 66, Vicksburg, MS 39183 Phone: 601-638-3661 |