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Export Provider Record NPI 1417380403
Mithila SharmaD.D.S
Active
NPI Number1417380403
NPI TypeNPI-1 Individual
SpecialtyDentist
Provider Details
NPI1417380403
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2013-08-14
Last Updated2013-08-14
Mailing Address2917 N Vermilion St, Aspen Dental
Danville, IL 61832-1366
United States
Phone: (217) 703-4701
📍 View Map
Primary Practice Address2917 N Vermilion St, Aspen Dental
Danville, IL 61832-1366
United States
Phone: (217) 703-4701
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes122300000X – DentistIL019.029610
Export Provider Record NPI 1417380403
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About NPI 1417380403

Mithila Sharma D.D.S is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1417380403. The primary specialty listed is Dentist. The provider is located in Danville, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2013-08-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1417380403?

NPI 1417380403 belongs to Mithila Sharma D.D.S, a Dentist in Danville, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1417380403 active?

The current status of NPI 1417380403 in the NPPES registry is Active. The record was last updated on 2013-08-14.

What specialty is NPI 1417380403?

NPI 1417380403 is classified under the taxonomy Dentist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1417380403?

You can verify NPI 1417380403 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1417380403?

The primary practice address on file for NPI 1417380403 is 2917 N Vermilion St, Danville, IL 61832-1366. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1417380403 issued?

NPI 1417380403 was first issued (enumerated) on 2013-08-14. The NPPES record was last updated on 2013-08-14.

Practice Location Map

Mithila Sharma is located at 2917 N Vermilion St, Danville, IL. Use the map below to find directions or verify the practice location.

📍 2917 N Vermilion St, Danville, IL 61832-1366  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Mithila Sharma. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1417380403. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Dentist019.029610IL
Data Verified from CMS NPPES Last synced: 2026-08-27 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162