Lone Mountain Family Dental
NPI 1366811747ActiveOrganization· Preferred Provider Organization· Las Vegas, NV
Preferred Provider Organization in Las Vegas, Nevada, registered in NPPES in September 2015. The authorized official on file is Joshua David Etman, DDS, President/ Doctor.
Overview
| NPI | 1366811747 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 16, 2015 |
| Last updated in NPPES | Sep 16, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 6547 | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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