1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Dentist
  6. NPI Profile

MOBILE COMPREHENSIVE DENTAL SERVICES INCORPORATED
NPI 1093667230
Dentist in Jacksonville, FL

Active since February 11, 2026
1839 LANE AVE S STE 104, JACKSONVILLE, FL 32210(904) 300-0126(877) 770-3699 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mobile Comprehensive Dental Services Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOBILE COMPREHENSIVE DENTAL SERVICES INCORPORATED (NPI 1093667230) is a healthcare organization registered as a dentist in Jacksonville, Florida and active in the NPI registry since February 2026. The organization lists Wendy Kimbrell, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1093667230
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMOBILE COMPREHENSIVE DENTAL SERVICES INCORPORATED
Location Address1839 LANE AVE S STE 104Jacksonville, FL 32210-1260
Mailing Address1839 Lane Ave S Ste 104Jacksonville, FL 32210-1260 · (904) 300-0126 · Fax (877) 770-3699
Phone(904) 300-0126
Fax(877) 770-3699
Organization SubpartNo
Authorized OfficialWendy KimbrellCredentialing Specialist · (904) 300-0126
Enumeration DateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
✔ NPI 1093667230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
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.
1839 LANE AVE S STE 104, Jacksonville, FL 32210
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SONYA P DUNBAR RDH
Dental Hygienist
1839 LANE AVE S STE 104
JACKSONVILLE, FL 32210
Duval County (904) 300-0126
MOBILE DENTAL HEAD- START LLC
Dentist (General Practice)
1839 LANE AVE S STE 104
JACKSONVILLE, FL 32210
Duval County (904) 300-0126
MOBILE DENTAL XPRESS MANAGEMENT GROUP LLC
Dental Hygienist
1839 LANE AVE S STE 104
JACKSONVILLE, FL 32210
Duval County (904) 300-0126
DR. PERRY PHILEMON LITTLE III DDS
Dentist (Dental Public Health)
1839 LANE AVE S STE 104
JACKSONVILLE, FL 32210
Duval County (904) 300-0126

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mobile Comprehensive Dental Services Incorporated's NPI number?

The NPI number for Mobile Comprehensive Dental Services Incorporated is 1093667230. It was assigned to this organization in the NPPES registry on February 11, 2026.

Where is Mobile Comprehensive Dental Services Incorporated located?

Mobile Comprehensive Dental Services Incorporated is located at 1839 Lane Ave S Ste 104, Jacksonville, FL 32210. The listed phone number is (904) 300-0126.

What is Mobile Comprehensive Dental Services Incorporated's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Mobile Comprehensive Dental Services Incorporated was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.