Individual provider · Type 1 NPI

Sharadyn Nicole Ille, DMD

Periodontics · Morgantown, WV

NPI number 1760368732 Active

Practice location

451 Suncrest Town Centre Dr
Morgantown, WV 26505-1814

Call (304) 293-5831 Map

Mailing address

8033 Evening Whisper Way
Cincinnati, OH 45244-4901

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X4787 (WV)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1760368732

Sharadyn Nicole Ille, DMD's National Provider Identifier is 1760368732, issued on Aug 14, 2025. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Morgantown, WV. The record was last updated on Aug 14, 2025.