Individual provider · Type 1 NPI

Randi Mellon, DDS

Dentist · San Antonio, TX

NPI number 1801200514 Active

Practice location

11010 W FM 471 Ste 104
San Antonio, TX 78253-4991

Call (210) 688-9386 Map

Mailing address

3285 Broad Oak Dr
Bandera, TX 78003-3784

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDN1858319 (MA)
Dentist Primary 122300000X30105 (TX)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1801200514

Randi Mellon, DDS's National Provider Identifier is 1801200514, issued on Jun 20, 2014. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Antonio, TX. The record was last updated on Dec 19, 2022.