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

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