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NPI Code Detail

MEDICARE: MOBILE DENTAL XPRESS MANAGEMENT GROUP LLC

MEDICARE: MOBILE DENTAL XPRESS MANAGEMENT GROUP LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental Hygienist

General Provider Information

NPI Number : 1477445328
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOBILE DENTAL XPRESS MANAGEMENT GROUP LLC
Provider Business Mailing Address
First Line : 1839 LANE AVE S STE 104
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-1260
Country : US
Telephone Number : 904-300-0126
Fax Number : 877-770-3699
Provider Business Practice Location Address
First Line : 1839 LANE AVE S STE 104
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-1260
Country : US
Telephone Number : 904-300-0126
Fax Number : 877-770-3699
Authorized Official
Title or Position : OFFICE MANAGER
Name : APRIL ADAMS
Credential :
Telephone Number : 904-300-0126
Provider Enumeration Date : 07/16/2025
Last Update Date : 07/16/2025

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Directions to “MOBILE DENTAL XPRESS MANAGEMENT GROUP LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.