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

Dr. Randi Mellon, DDS

Individual provider Dentist · NPI 1801200514

Dr. Randi Mellon, DDS is a Dentist in San Antonio, Texas. Practices as a sole proprietor. Licensed in Massachusetts and Texas.

Licensed in
MA, TX
In the registry since
2014
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

11010 W Fm 471 Ste 104
San Antonio, TX 78253-4991
Phone: (210) 688-9386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 30105 (TX)
Dentist Taxonomy 122300000X · Licence DN1858319 (MA)

Record details

NPI number1801200514
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 20, 2014
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022
Mailing address3285 Broad Oak Dr, Bandera, TX 78003-3784

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