Dental Sealants & More
NPI 1770755852ActiveOrganization· Dentist· Peoria, IL
Dentist in Peoria, Illinois, registered in NPPES in March 2008, part of Dental Sealants & More. The authorized official on file is Renee Katherine Dietz, DMD, President.
Overview
| NPI | 1770755852 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dental Sealants & More |
| NPI issued | Mar 28, 2008 |
| Last updated in NPPES | Feb 8, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 019-010639 | IL |
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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