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LONE MOUNTAIN FAMILY DENTAL
NPI 1366811747
Preferred Provider Organization in Las Vegas, NV

Active since September 16, 2015
4818 W LONE MOUNTAIN RD, LAS VEGAS, NV 89130(702) 655-9533(702) 655-9565 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lone Mountain Family Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONE MOUNTAIN FAMILY DENTAL (NPI 1366811747), doing business as Lone Mountain Dental, is a healthcare organization registered as a preferred provider organization in Las Vegas, Nevada and active in the NPI registry since September 2015. The organization lists Joshua David Etman, President/ Doctor, as its authorized official.

NPPES Registry Identity

NPI1366811747
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameLONE MOUNTAIN FAMILY DENTAL
Location Address4818 W LONE MOUNTAIN RDLas Vegas, NV 89130-2239
Mailing Address4818 W Lone Mountain RdLas Vegas, NV 89130-2239 · (702) 655-9533 · Fax (702) 655-9565
Phone(702) 655-9533
Fax(702) 655-9565
Organization SubpartNo
Authorized OfficialJoshua David EtmanPresident/ Doctor · (702) 655-9533
Enumeration DateSeptember 16, 2015
✔ NPI 1366811747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in NV · 6547
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
4818 W LONE MOUNTAIN RD, Las Vegas, NV 89130
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Other Names 1

Former Legal Business NameLone Mountain Dental

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOM GODFREY DMD PLLC
Clinic/Center (Dental)
4818 W LONE MOUNTAIN RD
LAS VEGAS, NV 89130
Clark County (702) 655-9533
BARRY A KENNEDY D.D.S
Dentist (General Practice)
4818 W LONE MOUNTAIN RD
LAS VEGAS, NV 89130
Clark County (702) 655-9533
LONE MOUNTAIN DENTAL, LLC
Dentist
4818 W LONE MOUNTAIN RD
LAS VEGAS, NV 89130
Clark County (702) 655-9533
DR. GREGORY KEN CAHOON DDS
Dentist (General Practice)
4818 W LONE MOUNTAIN RD
LAS VEGAS, NV 89130
Clark County (702) 257-2655
TOM GODFREY DMD PLLC
Dentist (General Practice)
4818 W LONE MOUNTAIN RD
LAS VEGAS, NV 89130
Clark County (702) 655-9533

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lone Mountain Family Dental's NPI number?

The NPI number for Lone Mountain Family Dental is 1366811747. It was assigned to this organization in the NPPES registry on September 16, 2015. The provider was formerly known as Lone Mountain Dental.

Where is Lone Mountain Family Dental located?

Lone Mountain Family Dental is located at 4818 W Lone Mountain Rd, Las Vegas, NV 89130. The listed phone number is (702) 655-9533.

What is Lone Mountain Family Dental's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Lone Mountain Family Dental was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.