Individual provider · Type 1 NPI

Yashodhan Ghodke

Dentist · Peoria, IL

NPI number 1104347343 Active

Practice location

1403 W Glen Ave
Peoria, IL 61614-4705

Call (888) 988-4066 Map

Mailing address

2050 E Algonquin Rd Ste 610
Schaumburg, IL 60173-4166

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019031240 (IL)

Dentist: 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 requiremen…

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About NPI 1104347343

Yashodhan Ghodke's National Provider Identifier is 1104347343, issued on Jun 28, 2017. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Peoria, IL. The record was last updated on Jun 28, 2017.