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Active NPI 1386883593 Individual Practitioner Male Practitioner

Dr. Gregory M Dietz , DMD

Dentist - Pediatric Dentistry • Normal, IL

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Dietz, DMD is a certified Dentist - Pediatric Dentistry practicing in Normal, IL. With approximately 19 years of clinical experience since graduating from Southern Illinois Univ School Of Dental Medicine in 2007, Dr. Dietz delivers high-quality medical care to the local community at 314 SUSAN DRIVE.

Dr. Dietz does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

314 Susan Drive

Normal, IL 61761

Telephone 3098275437
Fax 3092650288
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Southern Illinois Univ School Of Dental Medicine

Graduation Year

2007

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Normal, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs Matches City Avg
City Avg: 19.0 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Normal, IL (263 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

Clinical Seniority & Experience Comparison

Dr. Dietz (19 Years) 19 Yrs
Normal Specialty Average (19.0 Years) 19.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-05-29
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License IL 019027386

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License IL 019027386

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

530 Ne Glen Oak Ave

Peoria, IL 616370001

Phone: 3096244012

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Renee Dietz , DMD

Dentist - General Practice

NPI 1821272030

Doctor of Dental Medicine

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Business Mailing Address May 29, 2026

Registered at 314 SUSAN DR, NORMAL, IL 617616206 (Tel: 3098275437)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2026

Dentist (License #019027386 in IL)

📍
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)

NPI Profile Active December 12, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 12, 2013

Registered at 2111 E OAKLAND AVE, BLOOMINGTON, IL 617015758 (Tel: 3098275437)

📍
Updated Business Mailing Address December 12, 2013

Registered at 2111 E OAKLAND AVE, BLOOMINGTON, IL 617015758 (Tel: 3098275437)

👤
Provider Name / Credentials Updated December 12, 2013

Recorded as GREGORY DIETZ, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2013

Dentist (License #019027386 in IL)

🟢
Initial NPI Registration & Enumeration February 11, 2009

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: 1386883593
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2009
Last Update: May 29, 2026
Sole Proprietor: No

Mailing Address

314 Susan Dr

Normal, IL 617616206

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.