Renee Katherine Dietz in Normal - General Practice
Renee Katherine Dietz - NPI 1821272030
Renee Katherine Dietz is a General Practice in Normal, Illinois. Renee Katherine Dietz practices all healthcare services and medical treatments related to General Practice. The NPI Number for Renee Katherine Dietz is 1821272030. The last update date is 2021-05-28.
Renee Katherine Dietz's current location address is 314 Susan Drive, Normal, Illinois. You can contact this provider via phone number 3098275437 and fax number 3092659288. The mailing address for Renee Katherine Dietz is 314 Susan Drive, Normal, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Renee Katherine Dietz |
|---|---|
| Address | 314 Susan Drive, Normal, Illinois |
| Phone Number | 3098275437 |
| Fax Number | 3092659288 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1821272030 |
|---|---|
| Provider Enumeration Date | 2007-12-24 |
| Last Updated Date | 2021-05-28 |
Provider Mailing Address Detail
| Address | 314 Susan Drive |
|---|---|
| City | Normal |
| State | Illinois (IL) |
| Post Code | 61761 |
| Phone Number | 3098275437 |
| Fax Number | 3092659288 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19.027385 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8810 | IA | STATE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Renee Katherine Dietz by the Centers for Medicare & Medicaid Services?
The Renee Katherine Dietz has been assigned the NPI (National Provider Identifier) 1821272030. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Renee Katherine Dietz?
The Renee Katherine Dietz is situated at 314 Susan Drive, in the city of Normal, state of IL, with the zip code 61761.
What is Renee Katherine Dietz's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Renee Katherine Dietz is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1821272030 to Renee Katherine Dietz?
The Centers for Medicare & Medicaid Services originally issued the 1821272030 to Renee Katherine Dietz on 2007-12-24.
As of what date was the information regarding Renee Katherine Dietz, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Renee Katherine Dietz, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-05-28.
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