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Prairie Avenue Dental Associates, Inc.

General Practice Dentistry in Hebron, IL · enumerated 2007 · authorized official Renee Dietz, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245428234

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Registry record

Entity type Organization (Type 2)
Legal business name Prairie Avenue Dental Associates, Inc.
Other name <Unavail>
Parent organization Renee E. Schultz Dietz
Practice address 12016 Prairie Ave, Post Office Box 75, Hebron, IL, 60034
Phone (815) 648-4095
Fax (815) 648-2881
Enumeration date Oct 4, 2007
Last updated in NPPES Oct 4, 2007

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Renee Dietz
Title Owner
Phone (815) 648-4095

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Prairie Avenue Dental Associates, Inc.?
The NPI for Prairie Avenue Dental Associates, Inc. is 1245428234, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Prairie Avenue Dental Associates, Inc.?
NPPES lists Renee Dietz (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-04.