Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932289204 Individual Practitioner Male Practitioner

Dr. Jerry Wayne Mitchell , DDS

Dentist - General Practice • Ketchum, ID

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Mitchell, DDS is a registered healthcare professional specializing in Dentist - General Practice in Ketchum, ID. Practice services are available at 620 FIRST AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

620 First Ave N

Ketchum, ID 833400000

Telephone 2087207368

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ketchum, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
9 Specialists

Practicing in Ketchum, ID (781 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00005295

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 13, 2012

NPI status registered as active in NPPES database

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Updated Practice Location December 13, 2012

Registered at 620 FIRST AVE N, KETCHUM, ID 833400000 (Tel: 2087207368)

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Updated Business Mailing Address December 13, 2012

Registered at PO BOX 4378, 620 FIRST AVE N, KETCHUM, ID 833400000 (Tel: 2087207368)

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Provider Name / Credentials Updated December 13, 2012

Recorded as JERRY MITCHELL, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2012

Dentist (License #DE00005295 in WA)

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Initial NPI Registration & Enumeration October 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932289204
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2006
Last Update: December 13, 2012
Sole Proprietor: Yes

Mailing Address

Po Box 4378, 620 First Ave N

Ketchum, ID 833400000

Phone: 2087207368

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.