# MICHAEL HILLEARY DDS PLLC

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

## Provider details

- **NPI number:** 1730458357
- **Authorized official:** DR. MICHAEL RICHARD HILLEARY D.D.S. (MEMBER)
- **Authorized official phone:** (304) 296-1721

## Contact information

- **Practice address:** 157 HOLLAND AVE, WESTOVER, WV 26501-4315
- **Practice address phone:** (304) 296-1721
- **Practice address fax:** (304) 296-1115
- **Mailing address:** 157 HOLLAND AVE, WESTOVER, WV 26501-4315
- **Mailing address phone:** (304) 296-1721
- **Mailing address fax:** (304) 296-1115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3640 | WV | Yes |

## Other

- **Enumeration date:** 12/28/2011
- **Last updated:** 12/28/2011
