Individual provider · Type 1 NPI
Gregory M. Dietz, DMD
Pediatric Dentistry · Normal, IL
NPI number
1386883593
Active
Practice location
314 Susan Drive
Normal, IL 61761
Fax (309) 265-0288
Mailing address
314 Susan Dr
Normal, IL 61761-6206
Other practice locations
- 530 NE Glen Oak Ave, Peoria, IL 61637-0001 · (309) 624-4012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 019027386 (IL) |
| Dentist | 122300000X | 019027386 (IL) |
Pediatric Dentistry: 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.
2 other providers at this address
About NPI 1386883593
Gregory M. Dietz, DMD's National Provider Identifier is 1386883593, issued on Feb 11, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Normal, IL. The record was last updated on May 29, 2026.