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

Millie Dean Russell, DDS

Individual provider Dentist · NPI 1649502006

Millie Dean Russell, DDS is a Dentist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
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.

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Practice location Address checks out

12058 San Jose Blvd #102
Jacksonville, FL 32223-8666
Phone: (904) 880-3131
Fax: (904) 880-3169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS13804 (FL)

Record details

NPI number1649502006
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 9, 2010
Last updated in NPPESSeptember 21, 2011
Mailing address12058 San Jose Blvd, 102, Jacksonville, FL 32223-8666

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