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MILLIE DEAN RUSSELL D.D.S.
NPI 1649502006
Dentist in Jacksonville, FL

Active since February 09, 2010
12058 SAN JOSE BLVD, #102, JACKSONVILLE, FL 32223(904) 880-3131(904) 880-3169 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Millie Dean Russell D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILLIE DEAN RUSSELL D.D.S. (NPI 1649502006) is an individual dentist in Jacksonville, Florida, licensed in Florida (DS13804) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1649502006
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMILLIE DEAN RUSSELLCredential: D.D.S.
Location Address12058 SAN JOSE BLVD, #102Jacksonville, FL 32223-8666
Mailing Address12058 San Jose Blvd, #102Jacksonville, FL 32223-8666 · (904) 880-3131 · Fax (904) 880-3169
Phone(904) 880-3131
Fax(904) 880-3169
Sole ProprietorNo
Enumeration DateFebruary 9, 2010
Last NPPES UpdateSeptember 21, 2011
✔ NPI 1649502006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DS13804
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
12058 SAN JOSE BLVD, Jacksonville, FL 32223
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRUCE BRIAN BEARDSLEY JR. ARNP
Nurse Practitioner (Psychiatric/Mental Health)
12058 SAN JOSE BLVD, STE 1003
JACKSONVILLE, FL 32223
Duval County (904) 321-9875
LUIS E. QUINONES, MD, PA
Psychiatry & Neurology (Child & Adolescent Psychiatry)
12058 SAN JOSE BLVD, SUITE 903
JACKSONVILLE, FL 32223
Duval County (904) 886-0361
MRS. LYNDA R. MANCE L.C.S.W., CEAP, SAP
Social Worker (Clinical)
12058 SAN JOSE BLVD, SUITE 703
JACKSONVILLE, FL 32223
Duval County (904) 260-0454
JACQUELINE BOUDREAU VIOLA LCSW
Social Worker (Clinical)
12058 SAN JOSE BLVD, SUITE 703
JACKSONVILLE, FL 32223
Duval County (904) 260-0454
SHREDERS & ASSOCIATES, INC.
Counselor (Mental Health)
12058 SAN JOSE BLVD, SUITE 104
JACKSONVILLE, FL 32223
Duval County (904) 522-7920
MANDARIN COUNSELING INC
Social Worker (Clinical)
12058 SAN JOSE BLVD, STE 703
JACKSONVILLE, FL 32223
Duval County (904) 260-0454
DR. LUIS E. QUINONES MD
Psychiatry & Neurology (Psychiatry)
12058 SAN JOSE BLVD, SUITE 903
JACKSONVILLE, FL 32223
Duval County (904) 886-0361
MRS. ROSALIND ANN HELLER-SLEVIN ARNP
Nurse Practitioner (Adult Health)
12058 SAN JOSE BLVD, SUITE1003
JACKSONVILLE, FL 32223
Duval County (904) 880-6728

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Millie Russell's NPI number?

The NPI number for Millie Russell is 1649502006. It was assigned to this individual provider in the NPPES registry on February 9, 2010.

Where is Millie Russell located?

Millie Russell practices at 12058 San Jose Blvd #102, Jacksonville, FL 32223. The listed phone number is (904) 880-3131.

What is Millie Russell's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Millie Russell accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Millie Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Millie Russell was last updated on September 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.