MARY B. MELLARD, DDS
NPI 1841290137
Dentist - General Practice in San Antonio, TX

Active since July 28, 2005
24200 W IH 10, SUITE 112, SAN ANTONIO, TX 78257(210) 687-1133(210) 687-1132 Get Directions Write a Review

NPPES record last updated: March 26, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary B. Mellard, Dds NPPES

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

MARY B. MELLARD, DDS (NPI 1841290137) is a healthcare organization registered as a general practice in San Antonio, Texas and active in the NPI registry since July 2005. The organization lists Mary B Mellard, President, as its authorized official.

NPPES Registry Identity

NPI1841290137
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTHWEST DENTAL MANAGEMENT, PA
Location Address24200 W IH 10, SUITE 112San Antonio, TX 78257-1145
Mailing Address24200 W Ih 10, Suite 112San Antonio, TX 78257-1145 · (210) 687-1133 · Fax (210) 687-1132
Fax(210) 687-1132
Organization SubpartNo
Authorized OfficialMary B MellardPresident · (210) 687-1133
Enumeration DateJuly 28, 2005
Last NPPES UpdateMarch 26, 2010
NPI 1841290137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 13920
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.
24200 W IH 10, San Antonio, TX 78257

Other Names 1

Doing Business AsMary B. Mellard, Dds

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
24200 W IH 10, SUITE 112
SAN ANTONIO, TX 78257
Dentist
24200 W IH 10, SUITE 112
SAN ANTONIO, TX 78257

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 Northwest Dental Management, PA's NPI number?

The NPI number for Northwest Dental Management, PA is 1841290137. It was assigned to this organization in the NPPES registry on July 28, 2005. The provider is doing business as Mary B. Mellard, Dds.

Where is Northwest Dental Management, PA located?

Northwest Dental Management, PA is located at 24200 W Ih 10 Suite 112, San Antonio, TX 78257. The listed phone number is (210) 687-1133.

What is Northwest Dental Management, PA'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 Northwest Dental Management, PA was last updated on March 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.