MELLARD DENTISTRY AT LEON SPRINGS (NPI# 1205168473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205168473 |
| Entity Type | Organization |
| Organization Name | MELLARD DENTISTRY AT LEON SPRINGS |
| Practice Address |
24200 W Ih 10 Suite 112 San Antonio TX 78257-1145 |
| Practice Telephone | 2106871133 |
| Practice Fax Number | 2106871132 |
| Mailing Telephone | 2106871133 |
| Mailing Fax Number | 2106871132 |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |
| Authorized Official Name | DR. MARY MELLARD (PRESIDENT) |
| Authorized Official Telephone | 2106871133 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
13919 | TX | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13920 | TX | Dental Providers |
| Street Address |
24200 W IH 10 SUITE 112 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78257-1145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290137 | Northwest Dental Management, Pa | Dentist | 24200 W Ih 10, Suite 112, San Antonio, TX 78257-1145 | 2005-07-28 |
| 1851623995 | Mary V Mellard | Dentist | 24200 W Ih 10, Suite 112, San Antonio, TX 78257-1145 | 2010-01-29 |
| 1043357288 | James Randall Mellard | Dentist | 24200 W Ih 10, Suite 112, San Antonio, TX 78257-1145 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737941 | Barton Skinner | Nurse Practitioner | 17806 W I-10, Suite 300, San Antonio, TX 78257 | 2020-10-14 |
| 1639794464 | Gabriel Ezequiel Cantu | Behavior Technician | 21727 I-10, Unit 108, San Antonio, TX 78257 | 2020-06-08 |
| 1588135719 | Alejandro Daniel Perez | Military Health Care Provider | Wilderness Trl & Camp Bullis, San Antonio, TX 78257 | 2018-12-16 |
| 1386139434 | Callie D Harris | Nurse Practitioner | 22135 I-10, San Antonio, TX 78257 | 2018-06-29 |
| 1093231326 | Melissa Lauren Nguyen | Military Health Care Provider | 5425 Mc Williams Dr., Medical Aid Station Bldg 5425 Rm 104, San Antonio, TX 78257 | 2017-08-18 |
| 1902337165 | Hania Alkudmani | Dentist | 24051 W Interstate 10, San Antonio, TX 78257 | 2017-03-21 |
| 1043767569 | My Er Stcpr, Lp | Clinic/Center | 5431 North Loop 1604 West, San Antonio, TX 78257 | 2016-09-01 |
| 1649726381 | Aaron Stares | Physical Therapist | 23127 Interstate Highway 10, Suite 203, San Antonio, TX 78257 | 2016-09-01 |
| 1457700023 | Shelly Marquard | Dietitian, Registered | 22211 I-10 West, #1206, San Antonio, TX 78257 | 2016-06-06 |
| 1245695337 | Ao Iom, Pllc | Electrodiagnostic Medicine | 17503 Lacantera Parkway Suite 104 # 422, San Antonio, TX 78257 | 2015-12-16 |
| Find all providers in zip 78257 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452354 | Cesar Oscar Gonzalez | Dentist | 20122 Stone Oak Pkwy Ste 101, San Antonio, TX 78258-7041 | 2020-09-16 |
| 1760093397 | Grace Jie Zhang | Dentist | 11535 West Ave # A, San Antonio, TX 78213-1343 | 2020-08-17 |
| 1104436831 | Tian Meng | Dentist | 8110 W Loop 1604 N, San Antonio, TX 78254-2104 | 2020-08-07 |
| 1780217976 | Tovar Dental, Pllc | Dentist | 11840 Alamo Ranch Parkway, #90, San Antonio, TX 78253 | 2020-02-17 |
| 1972133767 | Evodent Dental Pllc | Dentist | 18838 Stone Oak Pkwy Ste 102, San Antonio, TX 78258-4179 | 2020-01-21 |
| 1659901502 | Dental Care of San Antonio, Pllc | Dentist | 115 N Loop 1604 E Ste 1104, San Antonio, TX 78232-1399 | 2020-01-20 |
| 1437792041 | Precision Smile Structure Culebra Pllc | Dentist | 6626 W Loop 1604 N Ste 216, San Antonio, TX 78254-6602 | 2019-10-26 |
| 1013558998 | Great White Dental Pllc | Dentist | 238 Sw Military Dr Ste 104, San Antonio, TX 78221-1657 | 2019-10-02 |
| 1376192443 | Deborah R. Keepers Dds Pa | Dentist | 11309 Bandera Rd Ste 101, San Antonio, TX 78250-2602 | 2019-09-10 |
| 1487202750 | Western Dental Care | Dentist | 2347 Nw Military Hwy Ste 101, San Antonio, TX 78231-2502 | 2019-08-29 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78257 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.