MILL COVE FAMILY DENTISTRY, LLC – NPI #1497548259
Clinic/Center

MILL COVE FAMILY DENTISTRY, LLC is an AHC clinic located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1497548259 to MILL COVE FAMILY DENTISTRY, LLC on May 26, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MILL COVE FAMILY DENTISTRY, LLC below.

NPI Profile for
MILL COVE FAMILY DENTISTRY, LLC

NPI Number
1497548259
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MILL COVE FAMILY DENTISTRY, LLC
Primary location
9119 MERRILL RD STE 29
JACKSONVILLE, FL 32225-4306
Phone: (904) 549-9777 Fax:
Mailing address
4530 ST JOHNS AVE STE 15
#225
JACKSONVILLE, FL 32210-1852
Phone: Fax:
Organization Subpart
No
Authorized Official
AUSTIN GROVENSTEIN
OWNER/DENTIST
Phone: (904) 549-9777
Updated
Certification Date
May 25, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.