Provider Demographics
NPI:1003290347
Name:MONROE, ALEXANDRA HILLYARD (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:HILLYARD
Last Name:MONROE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 STATE RD
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-1544
Mailing Address - Country:US
Mailing Address - Phone:610-566-0291
Mailing Address - Fax:
Practice Address - Street 1:47 STATE RD
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-1544
Practice Address - Country:US
Practice Address - Phone:610-566-0291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS039904122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist