person
Dr. Jerry Wayne Mitchell, DDS
General Practice Dentistry in Ketchum, Idaho
NPI 1932289204

Jerry Wayne Mitchell is a General Practice Dentistry based in Ketchum, ID and is specialized in General Practice. Jerry Wayne Mitchell practices in Ketchum, ID and has the professional credentials of DDS. The NPI Number for Jerry Wayne Mitchell is 1932289204 and holds a License No. DE00005295 (Idaho).

The current practice location address for Jerry Wayne Mitchell is 620 First Ave N, Ketchum, ID and can be reached out via phone at 208-720-7368. You can also correspond with Jerry Wayne Mitchell through the mailing address at PO BOX 4378, KETCHUM, ID - 83340-0000 (mailing address contact number: 208-720-7368).

Location: 620 First Ave N, Ketchum, ID, 83340-0000
person
Provider Profile Details
NPI Number
1932289204
Provider Name
Jerry Wayne Mitchell
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
620 First Ave N, Ketchum, ID, 83340-0000
Phone Number
208-720-7368
Fax Number
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
620 First Ave N
City
State
Zip
83340-0000
Phone Number
208-720-7368
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 4378
City
State
Zip
83340-0000
Phone Number
208-720-7368
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
DE00005295 (Washington)
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.
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