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

Northwest Dental Management, PA

Organization General Practice Dentistry · NPI 1841290137

Northwest Dental Management, PA is a General Practice Dentistry in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

24200 W Ih 10 Ste 112
San Antonio, TX 78257-1145
Phone: (210) 687-1133
Fax: (210) 687-1132
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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 · Licence 13920 (TX)

Record details

NPI number1841290137
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Mellard — President · (210) 687-1133
Other names Mary B. Mellard, Dds
NPI enumeratedJuly 28, 2005
Last updated in NPPESMarch 26, 2010
Mailing address24200 W Ih 10, Suite 112, San Antonio, TX 78257-1145

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