DR. GREGORY M DIETZ D.M.D.
NPI 1386883593
Dentist - Pediatric Dentistry in Normal, IL
About Dr. Gregory M Dietz D.m.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GREGORY M DIETZ D.M.D. (NPI 1386883593) is an individual pediatric dentistry provider in Normal, Illinois, licensed in Illinois (019027386) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Peoria, and is a graduate of Southern Illinois Univ School Of Dental Medicine (2007).
NPPES Registry Identity
Specialties & Licenses 2
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.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Gregory M Dietz D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61761 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386883593, enumerated as an "individual" on February 11, 2009.
The provider is located at 314 SUSAN DRIVE NORMAL, IL 61761 and the phone number is (309) 827-5437.
Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.
