Children's Center for Dentistry PLLC
NPI 1285184259ActiveOrganization· Dentist, Pediatric Dentistry· Normal, IL
Dentist, Pediatric Dentistry in Normal, Illinois, registered in NPPES in October 2016. The authorized official on file is Gregory M. Dietz, D.M.D, Owner & Provider.
Overview
| NPI | 1285184259 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 13, 2016 |
| Last updated in NPPES | May 28, 2021 |
| Certified by provider | May 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 021002544 | IL |
| Dentist, General Practice | 1223G0001X | 019027386 | IL |
| Dentist, General Practice | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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