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

Dr. Gregory M Dietz, DMD

Individual provider Pediatric Dentistry · NPI 1386883593

Dr. Gregory M Dietz, DMD is a Pediatric Dentistry in Normal, Illinois. Graduated from Southern Illinois Univ School of Dental Medicine in 2007, 19 years ago. Works from 2 locations. Licensed in Illinois.

Years since qualifying
19
Trained at
Southern Illinois Univ School of Dental Medicine
Licensed in
IL
In the registry since
2009
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

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.

Additional practice locations (1)

  • 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 — (309) 624-4012

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 019027386 (IL)
Dentist Taxonomy 122300000X · Licence 019027386 (IL)

Record details

NPI number1386883593
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 11, 2009
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026
Mailing address314 Susan Dr, Normal, IL 61761-6206

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC DENTISTRY
Also practisesDENTIST
Medical schoolSOUTHERN ILLINOIS UNIV SCHOOL OF DENTAL MEDICINE
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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