Millie Dean Russell, D.D.S.
Dentist · Jacksonville, FL
Millie Dean Russell, D.D.S. is a dentist with a practice address in Jacksonville, Florida, and NPI 1649502006, issued on Feb 9, 2010. Check the license (Florida DS13804, as entered in NPPES) on the Florida health license search; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Millie Dean Russell
- Credential
- D.D.S.
- Primary taxonomy
- Dentist 122300000X
- License number
- DS13804 FL
Self-reported in NPPES; status is on the state search - Practice location
- 12058 San Jose Blvd, Jacksonville, FL 32223
- Phone
- (904) 880-3131
- Enumerated
- Feb 9, 2010
- Record last updated
- Sep 21, 2011 (not updated in 15 years: call before relying on the address or phone)
- Fax
- (904) 880-3169
- Entity
- Type 1 · individual
8 nearest dentist records → All 6,155 in Florida → Look up another NPI →
Also registered at 12058 San Jose Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Millie Dean Russell in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license DS13804Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Millie Dean Russell among 6,155 dentist records in Florida
Millie Dean Russell, D.D.S. is one of 6,155 dentist records with a practice address in Florida. 68% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2010, is newer than 37% of them.
- NPI issued2010 · 37% of these records are older, 60% newer
- In a Medicare fileNo · 68% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2011 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 122300000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
286 dentist records list a practice address in Jacksonville
They are 286 of the 24,194 NPPES records with a practice address in Jacksonville, and 6,155 dentist records in Florida. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 6,155 in Florida → Every provider in Jacksonville → Dentist nationwide →
The 8 dentist records with the nearest ZIP codes
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- Sutton Farnham, PHD DDSMandarin, FL 322231407866684
- Jacquelene Gilbert Farnham, DMDMandarin, FL 322231932296514
- Samir Hanania, DMDJacksonville, FL 322231679466783
- Richard Leibowitz, DDSJacksonville, FL 322231083733604
- Megan Moshea, DDSJacksonville, FL 322231336555754
Common questions
What is Millie Dean Russell, D.D.S.'s NPI number?
Millie Dean Russell, D.D.S.'s National Provider Identifier (NPI) is 1649502006, issued on Feb 9, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Millie Dean Russell, D.D.S. located?
The NPPES record lists a practice address at 12058 San Jose Blvd, Jacksonville, FL, 32223. Phone: (904) 880-3131. Providers update this record themselves, so call before visiting.
How can I verify Millie Dean Russell, D.D.S.'s license?
NPPES lists Florida license number DS13804, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.