# BLACK MOUNTAIN DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** black mountain dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174686034
- **Authorized official:** RODNEY GARTH HARRIS DDS (OWNER)
- **Authorized official phone:** (702) 699-5551

## Contact information

- **Practice address:** 270 E HORIZON DR, SUITE 106, HENDERSON, NV 89015-8036
- **Practice address phone:** (702) 699-5551
- **Mailing address:** 270 E HORIZON DR, SUITE 106, HENDERSON, NV 89015-8036
- **Mailing address phone:** (702) 699-5551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3208 | NV | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 08/22/2020