DR. JERRY WAYNE MITCHELL D.D.S.
NPI 1932289204
Dentist - General Practice in Ketchum, ID

Q: What is Jerry Mitchell's NPI number?

The NPI number for Jerry Mitchell is 1932289204. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Jerry Mitchell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jerry Mitchell was last updated on December 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 17, 2006

620 FIRST AVE N, KETCHUM, ID 83340(208) 720-7368 Get Directions Write a Review

NPPES record last updated: December 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jerry Wayne Mitchell D.d.s. NPPES

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

DR. JERRY WAYNE MITCHELL D.D.S. (NPI 1932289204) is an individual general practice provider in Ketchum, Idaho, licensed in Washington (DE00005295) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1932289204

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JERRY WAYNE MITCHELLCredential: D.D.S.

Location Address620 FIRST AVE NKetchum, ID 83340-0000

Mailing AddressPo Box 4378, 620 First Ave NKetchum, ID 83340-0000 · (208) 720-7368

Phone(208) 720-7368

Sole ProprietorYes

Enumeration DateOctober 17, 2006

Last NPPES UpdateDecember 13, 2012

✔ NPI 1932289204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WA · DE00005295

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.

620 FIRST AVE N, Ketchum, ID 83340

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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 Jerry Mitchell's NPI number?

The NPI number for Jerry Mitchell is 1932289204. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Jerry Mitchell located?

Jerry Mitchell practices at 620 First Ave N, Ketchum, ID 83340. The listed phone number is (208) 720-7368.

What is Jerry Mitchell's specialty?

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

When was this NPI record last updated?

The NPPES record for Jerry Mitchell was last updated on December 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.