# LONE MOUNTAIN DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Barry A. Kennedy, DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649493164
- **Authorized official:** BARRY KENNEDY DDS (OWNER)
- **Authorized official phone:** (702) 655-9533

## Contact information

- **Practice address:** 4818 W LONE MOUNTAIN RD, LAS VEGAS, NV 89130-2239
- **Practice address phone:** (702) 655-9533
- **Practice address fax:** (702) 655-9565
- **Mailing address:** 4818 W LONE MOUNTAIN RD, LAS VEGAS, NV 89130-2239
- **Mailing address phone:** (702) 655-9533
- **Mailing address fax:** (702) 655-9565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2791 | NV | Yes |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 08/22/2020