Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821272030 Individual Practitioner Female Practitioner

Dr. Renee Katherine Dietz , DMD

Dentist - General Practice • Normal, IL

Professional Overview & Biography Verified Profile Summary

Dr. Renee Dietz, DMD is a registered healthcare professional specializing in Dentist - General Practice in Normal, IL. Practice services are available at 314 SUSAN DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

314 Susan Drive

Normal, IL 61761

Telephone 3098275437
Fax 3092659288
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Normal, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Normal, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-05-28
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IA 08810

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IL 019.027385

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License
08810 (IA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Gregory Dietz , DMD

Dentist - Pediatric Dentistry

NPI 1386883593

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 28, 2021

Registered at 314 SUSAN DRIVE, NORMAL, IL 61761 (Tel: 3098275437)

📍
Updated Business Mailing Address May 28, 2021

Registered at 314 SUSAN DRIVE, NORMAL, IL 61761 (Tel: 3098275437)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2021

Dentist (License #019.027385 in IL)

NPI Profile Active August 23, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2011

Registered at 1515 BLAIRS FERRY RD NE, CEDAR RAPIDS, IA 52402 (Tel: 3193937000)

📍
Updated Business Mailing Address August 23, 2011

Registered at 1515 BLAIRS FERRY RD NE, CEDAR RAPIDS, IA 52402 (Tel: 3193937000)

👤
Provider Name / Credentials Updated August 23, 2011

Recorded as RENEE DIETZ, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2011

Dentist (License #08810 in IA)

🟢
Initial NPI Registration & Enumeration December 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821272030
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 24, 2007
Last Update: May 28, 2021
Sole Proprietor: No

Mailing Address

314 Susan Drive

Normal, IL 61761

Phone: 3098275437

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.