Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mellon Dental Management, PLLC

Organization General Practice Dentistry · NPI 1336852144

Mellon Dental Management, PLLC is a General Practice Dentistry in Bandera, Texas. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

584 State Highway 16 S
Bandera, TX 78003-3808
Phone: (830) 796-3548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dental Clinic/Center Taxonomy 261QD0000X

Record details

NPI number1336852144
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randi Mellon — Dentist · (830) 796-3548
Other names Tooth Scootin' Boogie; Tooth Scootin' Boogie
NPI enumeratedDecember 27, 2022
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 7, 2023
Mailing addressPo Box 3612, Bandera, TX 78003-6611

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