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Dr. Renee Katherine Dietz, DMD
General Practice Dentistry in Normal, Illinois
NPI 1821272030

Renee Katherine Dietz is a General Practice Dentistry based in Normal, IL and is specialized in General Practice. Renee Katherine Dietz practices in Normal, IL and has the professional credentials of DMD. The NPI Number for Renee Katherine Dietz is 1821272030 and holds a License No. 019.027385 (Illinois).

The current practice location address for Renee Katherine Dietz is 314 Susan Drive, Normal, IL and can be reached out via phone at 309-827-5437 and via fax at 309-265-9288.

Location: 314 Susan Drive, Normal, IL, 61761
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821272030
Provider Name
Renee Katherine Dietz
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
314 Susan Drive, Normal, IL, 61761
Phone Number
309-827-5437
Fax Number
309-265-9288
Provider Enumeration Date
12/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08810 01 IA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
314 Susan Drive
City
Normal
State
Illinois
Zip
61761
Phone Number
309-827-5437
Fax Number
309-265-9288
person
Provider Business Mailing Address Details
Address
314 Susan Drive
City
Normal
State
Illinois
Zip
61761
Phone Number
309-827-5437
Fax Number
309-265-9288
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019.027385 (Illinois)
Definition
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.
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