PRAIRIE AVENUE DENTAL ASSOCIATES, INC.
NPI 1245428234
Dentist - General Practice in Hebron, IL

Q: What is Prairie Avenue Dental Associates, Inc.'s specialty?

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

Active since October 04, 2007

12016 PRAIRIE AVE, POST OFFICE BOX 75, HEBRON, IL 60034(815) 648-4095(815) 648-2881 Get Directions Write a Review

NPPES record last updated: October 4, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Prairie Avenue Dental Associates, Inc. NPPES

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

PRAIRIE AVENUE DENTAL ASSOCIATES, INC. (NPI 1245428234), doing business as Renee Schultz Dietz, is a healthcare organization registered as a general practice in Hebron, Illinois and active in the NPI registry since October 2007. The organization lists Renee E. Dietz, Owner, as its authorized official.

NPPES Registry Identity

NPI1245428234

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePRAIRIE AVENUE DENTAL ASSOCIATES, INC.

Location Address12016 PRAIRIE AVE, POST OFFICE BOX 75Hebron, IL 60034-8892

Mailing Address12016 Prairie Ave, Post Office Box 75Hebron, IL 60034-8892 · (815) 648-4095 · Fax (815) 648-2881

Phone(815) 648-4095

Fax(815) 648-2881

Organization SubpartYesParent: Renee E. Schultz Dietz

Authorized OfficialRenee E. DietzOwner · (815) 648-4095

Enumeration DateOctober 4, 2007

✔ NPI 1245428234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

12016 PRAIRIE AVE, Hebron, IL 60034

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Other Names 1

Former Legal Business NameRenee Schultz Dietz

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. RENEE SCHULTZ-DIETZ DMD

Dentist (General Practice)

12016 PRAIRIE AVE
HEBRON, IL 60034

McHenry County (815) 648-4095

DR. JOHN RAYMOND KAMINSKI DDS

Dentist (General Practice)

12016 PRAIRIE AVE
HEBRON, IL 60034

McHenry County (815) 648-4095

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 Prairie Avenue Dental Associates, Inc.'s NPI number?

The NPI number for Prairie Avenue Dental Associates, Inc. is 1245428234. It was assigned to this organization in the NPPES registry on October 4, 2007. The provider was formerly known as Renee Schultz Dietz.

Where is Prairie Avenue Dental Associates, Inc. located?

Prairie Avenue Dental Associates, Inc. is located at 12016 Prairie Ave Post Office Box 75, Hebron, IL 60034. The listed phone number is (815) 648-4095.

What is Prairie Avenue Dental Associates, Inc.'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 Prairie Avenue Dental Associates, Inc. was last updated on October 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.