[4] The peak is the second highest in the range after Cloud Peak, which is only 1.5 miles (2.4 km) to the south, and the summit is located in the Cloud Peak Wilderness of Bighorn National Forest.

Many of the trails up the mountain are unmarked which adds to the difficulty of reaching the summit.

Mount Woolsey is an adjacent summit only .20 mi (0.32 km) to the southeast.

[5] Another high peak of the Bighorns known as Hallelujah Peak is situated along a knife-like ridge known as an arête .64 mi (1.03 km) to the northeast.

Several tiny remnant glaciers can be found on the north slopes of Black Tooth Mountain.