Organization Active NPI

Mill Cove Family Dentistry, LLC

  • Dental Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1497548259
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MILL COVE FAMILY DENTISTRY, LLC
Practice address
9119 Merrill Rd Ste 29
Jacksonville, FL 32225-4306
Phone
(904) 549-9777
NPI assigned
May 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Austin Grovenstein, DMDNPI 1649953837
Title
Owner/Dentist
Phone
(904) 549-9777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9119 Merrill Rd Ste 29
Jacksonville, FL 32225-4306

Mailing address

4530 St Johns Ave Ste 15
#225
Jacksonville, FL 32210-1852

Other names 1

  • Mill Cove Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

9119 Merrill Rd
Ste 29
Jacksonville, FL 32225
Phone (904) 549-9777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748217600000",
    "number": "1497548259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 ST JOHNS AVE STE 15",
            "address_2": "#225",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 MERRILL RD STE 29",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322254306",
            "telephone_number": "904-549-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL COVE FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-25",
        "status": "A",
        "authorized_official_last_name": "GROVENSTEIN",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "904-549-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mill Cove Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.