OrganizationActive
Mobile Dental Head- Start LLC
NPI 1356161293 · General Practice Dentistry · Jacksonville, FL
Mobile Dental Head- Start LLC is a General Practice Dentistry organization in Jacksonville, FL (NPI 1356161293).
Provider details
- NPI number
- 1356161293
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kenjula Brown, Owner(904) 300-0126
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1839 Lane Ave S Ste 104
Jacksonville, FL 32210-1260
Phone: (904) 300-0126
Street-level locationGet directions
Mailing address
1839 Lane Ave S Ste 104
Jacksonville, FL 32210-1260
Other names (DBA / former)
- Former legal business name
- Mobile Dental Head - Start LLC
- Former legal business name
- Mobile Dental Head - Start LLC
Registry dates
- Enumerated
- 2024-10-15
- Last updated
- 2024-10-24
- Certified
- 2024-10-24
Frequently asked questions
- What is Mobile Dental Head- Start LLC's NPI number?
- Mobile Dental Head- Start LLC's National Provider Identifier (NPI) is 1356161293, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mobile Dental Head- Start LLC?
- Mobile Dental Head- Start LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Mobile Dental Head- Start LLC located?
- Mobile Dental Head- Start LLC's practice location on file with NPPES is 1839 Lane Ave S Ste 104, Jacksonville, FL 32210-1260.
- What is Mobile Dental Head- Start LLC's phone number?
- The practice phone number listed in the NPPES registry for Mobile Dental Head- Start LLC is (904) 300-0126.
- Who is the authorized official for Mobile Dental Head- Start LLC?
- The authorized official listed on Mobile Dental Head- Start LLC's NPPES record is Kenjula Brown, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mobile Dental Head- Start LLC's NPI active?
- Yes — Mobile Dental Head- Start LLC's NPI (1356161293) is active in the NPPES registry as of the last update on 2024-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.