# GREGORY A HILLYARD DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376945550
- **Authorized official:** DR. ALEXANDRA H MONROE D.M.D. (ASSOCIATE)
- **Authorized official phone:** (610) 566-0291

## Contact information

- **Practice address:** 47 STATE RD, MEDIA, PA 19063-1544
- **Practice address phone:** (610) 566-0291
- **Mailing address:** 47 STATE RD, MEDIA, PA 19063-1544
- **Mailing address phone:** (610) 566-0291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 50 057464 | NY | — |
| 261QD0000X | Dental Clinic/Center | DS039904 | PA | Yes |

## Other

- **Enumeration date:** 09/19/2014
- **Last updated:** 09/19/2014