Kristian Clymer Dietz, DDS in Bentonville, AR

Kristian Clymer Dietz, DDS is a medicare enrolled "Dentist" provider in Bentonville, Arkansas. He went to Virginia Commonwealth Univ School Of Dentistry and graduated in 2009 and has 17 years of diverse experience with area of expertise as Dentist. His current practice location is 1603 Sw Regional Airport Blvd, Bentonville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 715-4277.

Kristian Clymer Dietz is licensed to practice in Missouri (license number 2009014596) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1154550382.

Contact Information

	Kristian Clymer Dietz, DDS
	1603 Sw Regional Airport Blvd, Bentonville, AR 72713-7300
	(479) 715-4277
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristian Clymer Dietz
Gender	Male
Speciality	Dentist
Experience	17 Years
Location	1603 Sw Regional Airport Blvd, Bentonville, Arkansas
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristian Clymer Dietz attended and graduated from Virginia Commonwealth Univ School Of Dentistry in 2009

NPI Data:

NPI Number: 1154550382
Provider Enumeration Date: 07/09/2009
Last Update Date: 04/07/2026

Medicare PECOS Information:

PECOS PAC ID: 5698143311
Enrollment ID: I20231116002166

Medical Identifiers

Medical identifiers for Kristian Clymer Dietz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154550382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2009014596 (Missouri)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristian Clymer Dietz allows following entities to bill medicare on his behalf.

Entity Name	Ozark Snoring And Sleep Apnea Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538892930 PECOS PAC ID: 7113397035 Enrollment ID: O20231116001549

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristian Clymer Dietz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kristian Clymer Dietz, DDS 1603 Sw Regional Airport Blvd, Bentonville, AR 72713-7300 Ph: (479) 715-4277	Kristian Clymer Dietz, DDS 1603 Sw Regional Airport Blvd, Bentonville, AR 72713-7300 Ph: (479) 715-4277

Reviews and Comments

Dentist in Bentonville, AR

Dr. Jeffrey A. Evans, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 306 Ne Blake St Ste 1, Bentonville, AR 72712 Phone: 479-273-7993 Fax: 479-273-3158
Dr. Douglas D Rinehart, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 911 N Walton Blvd, Ste. B, Bentonville, AR 72712 Phone: 479-464-7500
Dr. Sydney Brooke Henderson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 312 S Main St, Bentonville, AR 72712 Phone: 479-254-6899 Fax: 479-254-6899
Thomas M Holman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1510 Se 14th St, Bentonville, AR 72712 Phone: 479-271-2299 Fax: 479-271-6419
Dr. Robert Edward Adair, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1616 Bella Vista Rd, Bentonville, AR 72712 Phone: 479-273-3306 Fax: 479-273-3835
Rosemary Pelphrey, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 400 Sw Ramsey Ln, Bentonville, AR 72712 Phone: 806-778-6869
Andrew Trevor Ricketts, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 104 S Walton Blvd, Bentonville, AR 72712 Phone: 479-273-3757 Fax: 479-755-3201

Kristian Clymer Dietz, DDS - Medicare Dentist in Bentonville, AR