DR. FRED W DIETRICH D.D.S.
NPI 1356358170
Dentist - General Practice in Camden, AR

Active since August 02, 2006PECOS Enrolled
206 VAN BUREN ST NW, CAMDEN, AR 71701(870) 836-6802(870) 836-6803 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Fred W Dietrich D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FRED W DIETRICH D.D.S. (NPI 1356358170) is an individual general practice provider in Camden, Arkansas, licensed in Arkansas (1698) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356358170
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. FRED W DIETRICHCredential: D.D.S.
Location Address206 VAN BUREN ST NWCamden, AR 71701-3931
Mailing Address206 Van Buren St NwCamden, AR 71701-3931 · (870) 836-6802 · Fax (870) 836-6803
Fax(870) 836-6803
Sole ProprietorYes
Enumeration DateAugust 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1356358170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AR · 1698
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

206 VAN BUREN ST NW, Camden, AR 71701

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Fred W Dietrich D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred Dietrich's NPI number?

The NPI number for Fred Dietrich is 1356358170. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Fred Dietrich located?

Fred Dietrich practices at 206 Van Buren St NW, Camden, AR 71701. The listed phone number is (870) 836-6802.

What is Fred Dietrich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Fred Dietrich enrolled in Medicare?

Yes. Fred Dietrich is registered in the Medicare PECOS enrollment system.

What insurance does Fred Dietrich accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Fred Dietrich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fred Dietrich was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.