CHILDREN'S CENTER FOR DENTISTRY PLLC – Pediatric Dentistry, NPI 1285184259

CHILDREN'S CENTER FOR DENTISTRY PLLC is a healthcare provider. based in Normal, Illinois. specializing in Pediatric Dentistry. The organization holds a License No. 019027386 (IL). The NPI Number for CHILDREN'S CENTER FOR DENTISTRY PLLC is 1285184259

Main info

Organization
Name
CHILDREN'S CENTER FOR DENTISTRY PLLC
NPI
1285184259
Phone
(309) 827-5437
Address
314 SUSAN DRIVE
Authorized Official
MR. GREGORY M DIETZ OWNER & PROVIDER D.M.D
Enumeration Date
13 October 2016
Last Update Date
28 May 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

Provider Addresses for CHILDREN'S CENTER FOR DENTISTRY PLLC

  • 314 SUSAN DRIVE

    NORMAL, IL 61761

    Phone: (309) 827-5437

    Fax: (309) 265-0288

    Type: Location

  • East Oakland Avenue, Bloomington, McLean County, Illinois, 61704, United States

    BLOOMINGTON, IL 617015783

    Phone: (309) 827-5437

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61761)

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Frequently asked questions

Does CHILDREN'S CENTER FOR DENTISTRY PLLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CHILDREN'S CENTER FOR DENTISTRY PLLC uses 1285184259.
Is CHILDREN'S CENTER FOR DENTISTRY PLLC still practicing?
CHILDREN'S CENTER FOR DENTISTRY PLLC is currently listed as active in the public NPI registry.
What taxonomy line describes CHILDREN'S CENTER FOR DENTISTRY PLLC?
For research purposes, treat CHILDREN'S CENTER FOR DENTISTRY PLLC as Pediatric Dentistry in this dataset. Clinical services aligned with this taxonomy classification.
Where is CHILDREN'S CENTER FOR DENTISTRY PLLC based?
CHILDREN'S CENTER FOR DENTISTRY PLLC is tied to Normal, Illinois in the data we show; additional addresses may exist on the full record.
Why does CHILDREN'S CENTER FOR DENTISTRY PLLC have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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