Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lone Mountain Family Dental

Organization Preferred Provider Organization · NPI 1366811747

Lone Mountain Family Dental is a Preferred Provider Organization in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2015.

Licensed in
NV
In the registry since
2015

Practice location Address checks out

4818 W Lone Mountain Rd
Las Vegas, NV 89130-2239
Phone: (702) 655-9533
Fax: (702) 655-9565
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence 6547 (NV)

Record details

NPI number1366811747
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Etman — President/ Doctor · (702) 655-9533
Other names Lone Mountain Dental
NPI enumeratedSeptember 16, 2015
Last updated in NPPESSeptember 16, 2015
Mailing address4818 W Lone Mountain Rd, Las Vegas, NV 89130-2239

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