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 provides 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 Not confirmed with CMS for 16 years — call before visiting
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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