OrganizationActive
Prairie Avenue Dental Associates, Inc.
NPI 1245428234 · General Practice Dentistry · Hebron, IL
Prairie Avenue Dental Associates, Inc. is a General Practice Dentistry organization in Hebron, IL (NPI 1245428234).
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(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Frequently asked questions
- What is Prairie Avenue Dental Associates, Inc.'s NPI number?
- Prairie Avenue Dental Associates, Inc.'s National Provider Identifier (NPI) is 1245428234, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prairie Avenue Dental Associates, Inc.?
- Prairie Avenue Dental Associates, Inc. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Prairie Avenue Dental Associates, Inc. located?
- Prairie Avenue Dental Associates, Inc.'s practice location on file with NPPES is 12016 Prairie Ave, Hebron, IL 60034-8892.
- What is Prairie Avenue Dental Associates, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Prairie Avenue Dental Associates, Inc. is (815) 648-4095.
- Who is the authorized official for Prairie Avenue Dental Associates, Inc.?
- The authorized official listed on Prairie Avenue Dental Associates, Inc.'s NPPES record is Renee Dietz, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prairie Avenue Dental Associates, Inc.'s NPI active?
- Yes — Prairie Avenue Dental Associates, Inc.'s NPI (1245428234) is active in the NPPES registry as of the last update on 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.