Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Ollie Hardaway Jr., D.D.S.

Dentist in Vicksburg, MS · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063539138

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Registry record

Entity type Individual (Type 1)

Name Dr. Ollie Hardaway Jr.

Credential D.D.S.

Sex Male

Practice address 154 Cottonwood Street, Vicksburg, MS, 39180

Phone (662) 873-4593

Fax (662) 873-4112

Enumeration date Mar 23, 2007

Last updated in NPPES Dec 17, 2007

Taxonomy & licenses

122300000X Dentist Dental Providers · License 180178 (MS) Primary

1223G0001X General Practice Dentistry Dental Providers · License 180178 (MS) Secondary

DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier	Type	State	Issuer
00660200	Medicaid	MS	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Ollie Hardaway?

The National Provider Identifier (NPI) for Ollie Hardaway is 1063539138, a Type 1 (individual) record in the CMS NPPES registry.

Where does Ollie Hardaway practice?

The practice location on file with NPPES is in Vicksburg, MS. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-12-17.