Individual provider · Type 1 NPI

Millie Dean Russell, DDS

Dentist · Jacksonville, FL

NPI number 1649502006 Active

Practice location

12058 San Jose Blvd, #102
Jacksonville, FL 32223-8666

Fax (904) 880-3169

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDS13804 (FL)

Dentist: 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 requiremen…

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About NPI 1649502006

Millie Dean Russell, DDS's National Provider Identifier is 1649502006, issued on Feb 9, 2010. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 21, 2011.