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CHILDREN'S CENTER FOR DENTISTRY PLLC
NPI 1285184259
Dentist - Pediatric Dentistry in Normal, IL

Active since October 13, 2016
314 SUSAN DRIVE, NORMAL, IL 61761(309) 827-5437(309) 265-0288 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 28, 2021, Oct 13, 2016 (2 updates tracked since 2016).

About Children's Center For Dentistry Pllc NPPES

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

CHILDREN'S CENTER FOR DENTISTRY PLLC (NPI 1285184259) is a healthcare organization registered as a pediatric dentistry in Normal, Illinois and active in the NPI registry since October 2016. The organization lists Gregory M Dietz, Owner & Provider, as its authorized official.

NPPES Registry Identity

NPI1285184259
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHILDREN'S CENTER FOR DENTISTRY PLLC
Location Address314 SUSAN DRIVENormal, IL 61761
Mailing Address314 Susan DriveNormal, IL 61761 · (309) 827-5437 · Fax (309) 265-0288
Phone(309) 827-5437
Fax(309) 265-0288
Organization SubpartNo
Authorized OfficialGregory M DietzOwner & Provider · (309) 827-5437
Enumeration DateOctober 13, 2016
Last NPPES UpdateMay 28, 20212 updates tracked since enumeration
NPPES CertifiedMay 28, 2021
✔ NPI 1285184259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IL · 021002544
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 019027386 (IL)
314 SUSAN DRIVE, Normal, IL 61761
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 KATHERINE DIETZ DMD
Dentist (General Practice)
314 SUSAN DRIVE
NORMAL, IL 61761
McLean County (309) 827-5437
DR. GREGORY M DIETZ D.M.D.
Dentist (Pediatric Dentistry)
314 SUSAN DRIVE
NORMAL, IL 61761
McLean County (309) 827-5437

Frequently Asked Questions

What is CHILDREN'S CENTER FOR DENTISTRY PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1285184259, enumerated as an "organization" on October 13, 2016.

Where is the provider located?

The provider is located at 314 SUSAN DRIVE NORMAL, IL 61761 and the phone number is (309) 827-5437.

What is the provider's specialty?

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.