Organization Active NPI

Mobile Dental Xpress Management Group LLC

  • Dental Hygienist
  • Jacksonville, FL
National Provider Identifier
1477445328
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
MOBILE DENTAL XPRESS MANAGEMENT GROUP LLC
Practice address
1839 Lane Ave S Ste 104
Jacksonville, FL 32210-1260
Phone
(904) 300-0126
Fax
(877) 770-3699
NPI assigned
Jul 16, 2025
Organization subpart
Yes
Parent organization
MOBILE DENTAL XPRESS MANAGEMENT GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
April Adams
Title
Office Manager
Phone
(904) 300-0126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X Primary

Addresses

Primary practice location

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

Mailing address

1839 Lane Ave S Ste 104
Jacksonville, FL 32210-1260
Phone (904) 300-0126

Other names 1

  • Mobile Dental Xpress Management LLC Former legal business name

National Provider Directory

National Provider Directory
Part of
Mobile Dental Xpress Management Group LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1477445328",
    "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 DENTAL XPRESS MANAGEMENT GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOBILE DENTAL XPRESS MANAGEMENT GROUP LLC",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "904-300-0126"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Dental Xpress Management LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.