Harmon and Otteson Dental Bonanza LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HARMON AND OTTESON DENTAL BONANZA LLC

Practice address

2337 E Bonanza Rd Ste 3
Las Vegas, NV 89101-3418

Phone

(702) 307-2273

NPI assigned

Apr 5, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kendra M Ebert

Title

Operations Partner

Phone

(765) 669-1254

Specialties & licenses 1

Addresses

Other names 1

• Silver Mountain Dental Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1508551706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 E BONANZA RD STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013418",
            "telephone_number": "702-307-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 E BONANZA RD STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013418",
            "telephone_number": "702-307-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMON AND OTTESON DENTAL BONANZA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "EBERT",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPERATIONS PARTNER",
        "authorized_official_telephone_number": "765-669-1254"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Mountain Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Torrell Harley
• Debra Lynn Harman, MD, FAAFP
• Paris Harman
• Harmel Chiropractic LLC
• Nicole Lee Harmel, DC
• Harmon and Otteson Dental Decatur LLC
• Harmon and Otteson Dental Durango LLC
• Harmon and Otteson Dental Eastern LLC
• Harmon and Otteson Dental LLC
• Harmon and Otteson Dental Management LLC

• Dental Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dental Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.