Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY WAYNE MITCHELL, D.D.S.
Active Sole ProprietorDR. JERRY WAYNE MITCHELL, D.D.S. is a General Dentistry healthcare provider located in KETCHUM, Idaho. NPI 1932289204 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · KETCHUM, ID
Registration Details
- NPI Number
- 1932289204
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2006 (19.793906466136 yrs)
- Last Updated
- Dec 13, 2012
- License
-
DE00005295 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
620 FIRST AVE NKETCHUM, ID, 833400000Browse ID providers · Browse ZIP 83340
- Phone
- 2087207368
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in KETCHUM, ID
| Name | Credential | NPI |
|---|---|---|
| SCOTT L FEATHERSTONE | DDS | 1851496137 |
| CHERYL N. RICE | DMD | 1962547174 |
| WAYNE JULIAN SPECTOR | D.M.D. | 1861600330 |
| DR. BRIAN CAMERON GALBRAITH | DDS | 1699976241 |
| DR. HERBERT AARON BLASER | DDS | 1043411697 |
| DR. CHRIS MICHAEL MAZZOLA | DDS | 1932305919 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.