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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CLAUDIA YEAH DIBOUH NYOH-TABI STUDENT
NPI 1174378269
Dentist - General Practice in Peoria, IL

Active since April 22, 2024
1403 W GLEN AVE, PEORIA, IL 61614(309) 692-4721 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2026, Apr 22, 2024 (2 updates tracked since 2024).

About Claudia Yeah Dibouh Nyoh-tabi Student NPPES

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

CLAUDIA YEAH DIBOUH NYOH-TABI STUDENT (NPI 1174378269) is an individual general practice provider in Peoria, Illinois, licensed in Illinois (319.025427) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1174378269
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameCLAUDIA YEAH DIBOUH NYOH-TABICredential: STUDENT
Location Address1403 W GLEN AVEPeoria, IL 61614-4705
Mailing Address1 Kneeland StBoston, MA 02111-1527 · (617) 636-6828
Phone(309) 692-4721
Sole ProprietorNo
Enumeration DateApril 22, 2024
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1174378269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in IL · 319.025427✔ Licensed in TX · 42712
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 019.037348 (IL)
1403 W GLEN AVE, Peoria, IL 61614
Open in Google Maps ↗

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.

YASHODHAN GHODKE
Dentist
1403 W GLEN AVE
PEORIA, IL 61614
Peoria County (888) 988-4066
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 Claudia Nyoh-tabi's NPI number?

The NPI number for Claudia Nyoh-tabi is 1174378269. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Claudia Nyoh-tabi located?

Claudia Nyoh-tabi practices at 1403 W Glen Ave, Peoria, IL 61614. The listed phone number is (309) 692-4721.

What is Claudia Nyoh-tabi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Claudia Nyoh-tabi was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.