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

Other providers in Ketchum