Individual provider · Type 1 NPI

Claudia Yeah Dibouh Nyoh-Tabi, STUDENT

General Practice Dentistry · Peoria, IL

NPI number 1174378269 Active

Practice location

1403 W Glen Ave
Peoria, IL 61614-4705

Call (309) 692-4721 Map

Mailing address

1 Kneeland St
Boston, MA 02111-1527

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X319.025427 (IL)
Dentist 122300000X019.037348 (IL)
General Practice Dentistry 1223G0001X42712 (TX)

General Practice Dentistry: 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.

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About NPI 1174378269

Claudia Yeah Dibouh Nyoh-Tabi, STUDENT's National Provider Identifier is 1174378269, issued on Apr 22, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Peoria, IL. The record was last updated on Jul 21, 2026.