OrganizationActive
Prairie Avenue Dental Associates, Inc.
NPI 1245428234 · General Practice Dentistry · Hebron, IL
Provider details
- NPI number
- 1245428234
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Renee E. Schultz Dietz
- Organization subpart
- Yes
- Authorized official
- Renee Dietz, Owner(815) 648-4095
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12016 Prairie Ave
Post Office Box 75
Hebron, IL 60034-8892
Phone: (815) 648-4095
Fax: (815) 648-2881
Street-level locationGet directions
Mailing address
12016 Prairie Ave
Hebron, IL 60034-8892
Other names (DBA / former)
- Former legal business name
- Renee Schultz Dietz
Registry dates
- Enumerated
- 2007-10-04
- Last updated
- 2007-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.