CHILDREN'S CENTER FOR DENTISTRY PLLC NPI 1285184259

NPI Information

  • NPI: 1285184259
  • Provider Name: CHILDREN'S CENTER FOR DENTISTRY PLLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 314 SUSAN DRIVE
    NORMAL, IL
    ZIP 61761
  • Phone: (309) 827-5437

Map and Directions

Get Directions

NPI Details

CHILDREN'S CENTER FOR DENTISTRY PLLC is a pediatric dentistry dentist in Normal, IL. The provider is 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. CHILDREN'S CENTER FOR DENTISTRY PLLC NPI is 1285184259. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

314 SUSAN DRIVE
NORMAL, IL
ZIP 61761
Phone: (309) 827-5437
Fax: (309) 265-0288

The provider's authorized official is Gregory M Dietz .
The authorized official title is Owner & Provider and has the following contact phone number (309) 827-5437.

The enumeration date for this NPI number is 10/13/2016 and was last updated on 5/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice019027386ILLINOISNo
21223G0001XDentistGeneral PracticeNo
31223P0221XDentistPediatric Dentistry021002544ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.