IndividualActive
Sharadyn Ille, DMD
NPI 1760368732 · Periodontics · Morgantown, WV
Provider details
- NPI number
- 1760368732
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 4787 (WV)
Specialties & taxonomies
Dental Providers
Practice location
451 Suncrest Town Centre Dr
Morgantown, WV 26505-1814
Phone: (304) 293-5831
Approximate (ZIP-level) locationGet directions
Mailing address
8033 Evening Whisper Way
Cincinnati, OH 45244-4901
Registry dates
- Enumerated
- 2025-08-14
- Last updated
- 2025-08-14
- Certified
- 2025-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.