Jerry Wayne Mitchell in Ketchum - General Practice
Jerry Wayne Mitchell - NPI 1932289204
Jerry Wayne Mitchell is a General Practice in Ketchum, Idaho. Jerry Wayne Mitchell practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jerry Wayne Mitchell is 1932289204. The last update date is 2012-12-13.
Jerry Wayne Mitchell's current location address is Po Box 4378, Ketchum, Idaho. You can contact this provider via phone number 2087207368. The mailing address for Jerry Wayne Mitchell is Po Box 4378, Ketchum, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Wayne Mitchell |
|---|---|
| Address | Po Box 4378, Ketchum, Idaho |
| Phone Number | 2087207368 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1932289204 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2012-12-13 |
Provider Mailing Address Detail
| Address | Po Box 4378 |
|---|---|
| City | Ketchum |
| State | Idaho (ID) |
| Post Code | 833400000 |
| Phone Number | 2087207368 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DE00005295 |
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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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What is the unique 10-digit identification code assigned to Jerry Wayne Mitchell by the Centers for Medicare & Medicaid Services?
The Jerry Wayne Mitchell has been issued the NPI (National Provider Identifier) 1932289204, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jerry Wayne Mitchell's physical address?
The Jerry Wayne Mitchell is physically located at Po Box 4378, in the city of Ketchum, ID, with the postal code 833400000.
What is Jerry Wayne Mitchell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerry Wayne Mitchell is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1932289204 to Jerry Wayne Mitchell?
The Centers for Medicare & Medicaid Services originally issued the 1932289204 to Jerry Wayne Mitchell on 2006-10-17.
When was the information related to Jerry Wayne Mitchell most recently updated or refreshed?
The details pertaining to the Jerry Wayne Mitchell, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-12-13.
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