Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Children's Center for Dentistry PLLC

Organization General Practice Dentistry · NPI 1285184259

Children's Center for Dentistry PLLC is a General Practice Dentistry in Normal, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

314 Susan Dr
Normal, IL 61761
Phone: (309) 827-5437
Fax: (309) 265-0288
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 021002544 (IL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 019027386 (IL)
General Practice Dentistry Taxonomy 1223G0001X

Record details

NPI number1285184259
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Dietz — Owner & Provider · (309) 827-5437
NPI enumeratedOctober 13, 2016
Last updated in NPPESMay 28, 2021
Certification dateMay 28, 2021
Mailing address314 Susan Drive, Normal, IL 61761

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