Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619325891 Individual Practitioner Female Practitioner

Dr. Kenjula Brown , DDS

Dentist - General Practice • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kenjula Brown, DDS is a registered healthcare professional specializing in Dentist - General Practice in Jacksonville, FL. Practice services are available at 7540 GATE PKWY STE 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7540 Gate Pkwy Ste 110

Jacksonville, FL 322563104

Telephone 9043233140
Associated Practice Facility / Clinic
🏢 The Smile Society, Pllc Facility NPI 1528853751

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
363 Specialists

Practicing in Jacksonville, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-22
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN24031

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License VA 0401415221

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

1680 Dunn Ave Ste 31

Jacksonville, FL 322184744

Phone: 8559745437

1319 E Osceola Pkwy Ste C

Kissimmee, FL 347441606

Phone: 4073430509

3615 Dupont Ave Ste 200-400

Jacksonville, FL 322172790

Phone: 8559745437

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events
📍
Updated Practice Location November 22, 2025

Registered at 7540 GATE PKWY STE 110, JACKSONVILLE, FL 322563104 (Tel: 9043233140)

📍
Updated Business Mailing Address November 22, 2025

Registered at 7540 GATE PKWY STE 110, JACKSONVILLE, FL 322563104 (Tel: 9043233140)

📍
Updated Practice Location October 12, 2023

Registered at 3615 DUPONT AVE STE 200-400, JACKSONVILLE, FL 322172790 (Tel: 8559745437)

📍
Updated Business Mailing Address October 12, 2023

Registered at 3020 HARTLEY RD STE 210, JACKSONVILLE, FL 322578206 (Tel: 9043957772)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2023

Dentist (License #0401415221 in VA)

📍
Updated Practice Location May 10, 2021

Registered at 1614 W PLAZA DR, TALLAHASSEE, FL 323085324 (Tel: 8507929100)

📍
Updated Business Mailing Address May 10, 2021

Registered at 1614 W PLAZA DR, TALLAHASSEE, FL 323085324 (Tel: 8507929100)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2021

Dentist (License #DN24031 in FL)

NPI Profile Active December 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 12, 2017

Registered at 9547A FAIRFAX BLVD, FAIRFAX, VA 220314740 (Tel: 7033592879)

📍
Updated Business Mailing Address December 12, 2017

Registered at 9547A FAIRFAX BLVD, FAIRFAX, VA 220314740 (Tel: 7033592879)

👤
Provider Name / Credentials Updated December 12, 2017

Recorded as KENJULA BROWN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2017

Dentist (License #0401415221 in VA)

NPI Profile Active May 29, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 29, 2016

Registered at 1020 ELDEN ST, SUITE 106, HERNDON, VA 201703843 (Tel: 7039554221)

📍
Updated Business Mailing Address May 29, 2016

Registered at 1020 ELDEN ST, SUITE 106, HERNDON, VA 201703843 (Tel: 7039554221)

👤
Provider Name / Credentials Updated May 29, 2016

Recorded as KENJULA BROWN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2016

Dentist (License #0401415221 in VA)

🟢
Initial NPI Registration & Enumeration May 29, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619325891
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2016
Last Update: November 22, 2025
Sole Proprietor: No

Mailing Address

7540 Gate Pkwy Ste 110

Jacksonville, FL 322563104

Phone: 9043233140

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.