1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Dentist
  6. NPI Profile

YASHODHAN GHODKE
NPI 1104347343
Dentist in Peoria, IL

Active since June 28, 2017
1403 W GLEN AVE, PEORIA, IL 61614(888) 988-4066 Get Directions Write a Review

NPPES record last updated: June 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Yashodhan Ghodke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YASHODHAN GHODKE (NPI 1104347343) is an individual dentist in Peoria, Illinois, licensed in Illinois (019031240) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1104347343
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameYASHODHAN GHODKE
Location Address1403 W GLEN AVEPeoria, IL 61614-4705
Mailing Address2050 E Algonquin Rd Ste 610Schaumburg, IL 60173-4166 · (888) 988-4066 · Fax (847) 496-4850
Phone(888) 988-4066
Sole ProprietorNo
Enumeration DateJune 28, 2017
✔ NPI 1104347343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019031240
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1403 W GLEN AVE, Peoria, IL 61614
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLAUDIA YEAH DIBOUH NYOH-TABI STUDENT
Dentist (General Practice)
1403 W GLEN AVE
PEORIA, IL 61614
Peoria County (309) 692-4721
DR. MEGHANA GAHARWAR DDS
Dentist
1403 W GLEN AVE
PEORIA, IL 61614
Peoria County (888) 988-4066
MANGAYARKARASI MATHIYAZHAGAN DDS
Dentist (General Practice)
1403 W GLEN AVE
PEORIA, IL 61614
Peoria County (888) 988-4066
VEERANDAR SINGH THAKUR
Dentist
1403 W GLEN AVE
PEORIA, IL 61614
Peoria County (309) 692-4721
CHARLOTTE SUNAINA JAKKULA
Dentist
1403 W GLEN AVE
PEORIA, IL 61614
Peoria County (888) 988-4066
KHUSHBUBEN CHIMANLAL PATEL DDS
Dentist
1403 W GLEN AVE
PEORIA, IL 61614
Peoria County (309) 692-4721
FAMILIA DENTAL PEORIA 5 LLC
Dentist (General Practice)
1403 W GLEN AVE
PEORIA, IL 61614
Peoria County (888) 988-4066
YOOSUK KO DDS
Dentist
1403 W GLEN AVE
PEORIA, IL 61614
Peoria County (888) 988-4066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yashodhan Ghodke's NPI number?

The NPI number for Yashodhan Ghodke is 1104347343. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Where is Yashodhan Ghodke located?

Yashodhan Ghodke practices at 1403 W Glen Ave, Peoria, IL 61614. The listed phone number is (888) 988-4066.

What is Yashodhan Ghodke's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Yashodhan Ghodke accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 14 other insurers list Yashodhan Ghodke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Yashodhan Ghodke was last updated on June 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.