Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649502006 Individual Practitioner Female Practitioner

Dr. Millie Dean Russell , DDS

Dentist • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Millie Russell, DDS is a registered healthcare professional specializing in Dentist in Jacksonville, FL. Practice services are available at 12058 SAN JOSE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12058 San Jose Blvd
#102

Jacksonville, FL 322238666

Telephone 9048803131
Fax 9048803169
Associated Practice Facility / Clinic
🏢 Luis E. Quinones, Md, Pa Facility NPI 1356455000

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
295 Specialists

Practicing in Jacksonville, FL (6414 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DS13804

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Alan Krantz , DDS

Dentist - General Practice

NPI 1780618058

Doctor of Dental Surgery

NPI 1912379926

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 21, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 21, 2011

Registered at 12058 SAN JOSE BLVD, #102, JACKSONVILLE, FL 322238666 (Tel: 9048803131)

📍
Updated Business Mailing Address September 21, 2011

Registered at 12058 SAN JOSE BLVD, #102, JACKSONVILLE, FL 322238666 (Tel: 9048803131)

👤
Provider Name / Credentials Updated September 21, 2011

Recorded as MILLIE RUSSELL, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2011

Dentist (License #DS13804 in FL)

🟢
Initial NPI Registration & Enumeration February 09, 2010

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: 1649502006
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2010
Last Update: September 21, 2011
Sole Proprietor: No

Mailing Address

12058 San Jose Blvd, #102

Jacksonville, FL 322238666

Phone: 9048803131

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.