P Praxis·MD
● Active Type 2 · Organization

Mellon Dental Management, Pllc

Dentist·Bandera, TX· NPI 1336852144 · Enumerated 2022 · 3 years on NPI
Mellon Dental Management, Pllc is 1 of 15661 dentist organizations in Texas.
NPI age
3 years
Enumerated 2022-12-27
Primary specialty
Dentist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mellon
Dentist
Last NPPES update
2023-02-07
Source: monthly bulk 2026-05

How this organization compares

Across 15661 active dentist providers in Texas.

NPI age
3 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 13% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-12Enumerated in NPPES
2022 2026

Where they practice

Primary practice location
584 State Highway 16 S
Bandera, TX 780033808
📞 8307963548
Mailing address
Po Box 3612
Bandera, TX 780036611

Authorized official

Randi Mellon, DDS
Dentist
📞 8307963548

Specialties

  • Dentist Primary
    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.
    taxonomy 1223G0001X
  • Clinic/Center
    Definition to come...
    taxonomy 261QD0000X

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Tooth Scootin' Boogie
    Type code 3 recorded 2023-01-29
  • Tooth Scootin' Boogie
    Type code 3 recorded 2022-12-27

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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