Individual provider · Type 1 NPI

Jerry Wayne Mitchell, DDS

General Practice Dentistry · Ketchum, ID

NPI number 1932289204 Active

Practice location

620 First Ave N
Ketchum, ID 83340-0000

Call (208) 720-7368 Map

Mailing address

PO Box 4378, 620 First Ave N
Ketchum, ID 83340-0000

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDE00005295 (WA)

General Practice Dentistry: 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.

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About NPI 1932289204

Jerry Wayne Mitchell, DDS's National Provider Identifier is 1932289204, issued on Oct 17, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Ketchum, ID. The record was last updated on Dec 13, 2012.