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

Jacob Wagner Mitchell

Individual provider Dentist · NPI 1063190734

Jacob Wagner Mitchell is a Dentist in Mountain Home, Arkansas. Licensed in Arkansas. Registered with an NPI since 2023.

Licensed in
AR
In the registry since
2023

Practice location Address checks out

2338 Highway 62 W
Mountain Home, AR 72653-6184
Phone: (870) 424-4670
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 4692 (AR)

Record details

NPI number1063190734
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 11, 2023
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023
Mailing address113 Parkview Dr, Mountain Home, AR 72653-4229

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