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

Dr. Jerry Wayne Mitchell, DDS

Individual provider General Practice Dentistry · NPI 1932289204

Dr. Jerry Wayne Mitchell, DDS is a General Practice Dentistry in Ketchum, Idaho. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2006
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.

See every abbreviation used in this directory →

Practice location Address checks out

620 First Ave N
Ketchum, ID 83340-0000
Phone: (208) 720-7368
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DE00005295 (WA)

Record details

NPI number1932289204
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 17, 2006
Last updated in NPPESDecember 13, 2012

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