TOOTH SCOOTIN' BOOGIE
NPI 1336852144
Dentist - General Practice in Bandera, TX

Q: What is Mellon Dental Management, PLLC's NPI number?

The NPI number for Mellon Dental Management, PLLC is 1336852144. It was assigned to this organization in the NPPES registry on December 27, 2022. The provider is doing business as Tooth Scootin' Boogie.

Q: What is Mellon Dental Management, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since December 27, 2022

584 STATE HIGHWAY 16 S, BANDERA, TX 78003(830) 796-3548 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2023, Jan 29, 2023, Dec 27, 2022 (3 updates tracked since 2022).

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About Tooth Scootin' Boogie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOOTH SCOOTIN' BOOGIE (NPI 1336852144) is a healthcare organization registered as a general practice in Bandera, Texas and active in the NPI registry since December 2022. The organization lists Randi Mellon, Dentist, as its authorized official.

NPPES Registry Identity

NPI1336852144

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMELLON DENTAL MANAGEMENT, PLLC

Location Address584 STATE HIGHWAY 16 SBandera, TX 78003-3808

Mailing AddressPo Box 3612Bandera, TX 78003-6611

Phone(830) 796-3548

Organization SubpartNo

Authorized OfficialRandi MellonDentist · (830) 796-3548

Enumeration DateDecember 27, 2022

Last NPPES UpdateFebruary 7, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2023

✔ NPI 1336852144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

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.

Also ListedClinic/Center · DentalTaxonomy 261QD0000X

584 STATE HIGHWAY 16 S, Bandera, TX 78003

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Other Names 1

Doing Business AsTooth Scootin' Boogie

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MCCRAE MANAGMENT AND INVESTMENTS, INC

Hearing Aid Equipment

584 STATE HIGHWAY 16 S
BANDERA, TX 78003

Bandera County (830) 796-3438

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mellon Dental Management, PLLC's NPI number?

The NPI number for Mellon Dental Management, PLLC is 1336852144. It was assigned to this organization in the NPPES registry on December 27, 2022. The provider is doing business as Tooth Scootin' Boogie.

Where is Mellon Dental Management, PLLC located?

Mellon Dental Management, PLLC is located at 584 State Highway 16 S, Bandera, TX 78003. The listed phone number is (830) 796-3548.

What is Mellon Dental Management, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mellon Dental Management, PLLC was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.