Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mobile Dental Head- Start LLC

Organization General Practice Dentistry · NPI 1356161293

Mobile Dental Head- Start LLC is a General Practice Dentistry in Jacksonville, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1839 Lane Ave S Ste 104
Jacksonville, FL 32210-1260
Phone: (904) 300-0126
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1356161293
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenjula Brown — Owner · (904) 300-0126
Other names Mobile Dental Head - Start Llc; Mobile Dental Head - Start Llc
NPI enumeratedOctober 15, 2024
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024
Mailing address1839 Lane Ave S Ste 104, Jacksonville, FL 32210-1260

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