Mobile Comprehensive Dental Services Incorporated

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MOBILE COMPREHENSIVE DENTAL SERVICES INCORPORATED

Practice address

1839 Lane Ave S Ste 104
Jacksonville, FL 32210-1260

Phone

(904) 300-0126

Fax

(877) 770-3699

NPI assigned

Feb 11, 2026

Organization subpart

No

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

Authorized official

Name

Wendy Kimbrell

Title

Credentialing Specialist

Phone

(904) 300-0126

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1770768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1093667230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 LANE AVE S STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101260",
            "telephone_number": "904-300-0126",
            "fax_number": "877-770-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 LANE AVE S STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101260",
            "telephone_number": "904-300-0126",
            "fax_number": "877-770-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE COMPREHENSIVE DENTAL SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-11",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "KIMBRELL",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "904-300-0126"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MJKD Group
• Mkkinetics LLC
• Mla ENT FL, Inc
• Denitza Issaeva Mladenova, RD, LD/N
• Mob Enterprises LLC
• Mobile Dental Head- Start LLC
• Mobile Dental Xpress LLC
• Mobile Dental Xpress Management Group LLC
• Mobile PT Solutions, LLC
• Mobilebio

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.