Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristian Clymer Dietz, DDS

Individual provider Dentist · NPI 1154550382

Kristian Clymer Dietz, DDS is a Dentist in Bentonville, Arkansas. Graduated from Virginia Commonwealth Univ School of Dentistry in 2009, 17 years ago. Works from 2 locations and offers telehealth. Licensed in Missouri.

Years since qualifying
17
Trained at
Virginia Commonwealth Univ School of Dentistry
Licensed in
MO
In the registry since
2009
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1603 SW Regional Airport Blvd
Bentonville, AR 72713-7300
Phone: (479) 715-4277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1603 Sw Regional Airport Blvd, Bentonville, AR 72713-7300 — (479) 339-0081

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2009014596 (MO)

Record details

NPI number1154550382
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 9, 2009
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolVIRGINIA COMMONWEALTH UNIV SCHOOL OF DENTISTRY
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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