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MOBILE DENTAL HEAD- START LLC
NPI 1356161293
Dentist - General Practice in Jacksonville, FL

Active since October 15, 2024
1839 LANE AVE S STE 104, JACKSONVILLE, FL 32210(904) 300-0126 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mobile Dental Head- Start Llc NPPES

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

MOBILE DENTAL HEAD- START LLC (NPI 1356161293), doing business as Mobile Dental Head - Start Llc, is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since October 2024. The organization lists Kenjula Brown, Owner, as its authorized official.

NPPES Registry Identity

NPI1356161293
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMOBILE DENTAL HEAD- START LLC
Location Address1839 LANE AVE S STE 104Jacksonville, FL 32210-1260
Mailing Address1839 Lane Ave S Ste 104Jacksonville, FL 32210-1260 · (904) 300-0126
Phone(904) 300-0126
Organization SubpartNo
Authorized OfficialKenjula BrownOwner · (904) 300-0126
Enumeration DateOctober 15, 2024
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1356161293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1839 LANE AVE S STE 104, Jacksonville, FL 32210
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Other Names 1

Former Legal Business NameMobile Dental Head - Start Llc

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.

MOBILE COMPREHENSIVE DENTAL SERVICES INCORPORATED
Dentist
1839 LANE AVE S STE 104
JACKSONVILLE, FL 32210
Duval County (904) 300-0126
SONYA P DUNBAR RDH
Dental Hygienist
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 Dental Head- Start LLC's NPI number?

The NPI number for Mobile Dental Head- Start LLC is 1356161293. It was assigned to this organization in the NPPES registry on October 15, 2024. The provider was formerly known as Mobile Dental Head - Start LLC.

Where is Mobile Dental Head- Start LLC located?

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

What is Mobile Dental Head- Start LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mobile Dental Head- Start LLC was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.