PERIO IMPLANT MOON LLC
NPI 1306732318
Dentist - Periodontics in Montvale, NJ

Active since June 16, 2025
160 SUMMIT AVE STE 206, MONTVALE, NJ 07645(551) 322-6385 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2025, Jun 16, 2025 (2 updates tracked since 2025).

About Perio Implant Moon Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERIO IMPLANT MOON LLC (NPI 1306732318), doing business as Moon Implants & Perio, is a healthcare organization registered as a periodontics in Montvale, New Jersey and active in the NPI registry since June 2025. The organization lists Laura Moon, Owner, as its authorized official.

NPPES Registry Identity

NPI1306732318
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIO IMPLANT MOON LLC
Location Address160 SUMMIT AVE STE 206Montvale, NJ 07645-1763
Mailing Address160 Summit Ave Ste 206Montvale, NJ 07645-1763
Organization SubpartNo
Authorized OfficialLaura MoonOwner · (551) 322-6385
Enumeration DateJune 16, 2025
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
NPI 1306732318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
160 SUMMIT AVE STE 206, Montvale, NJ 07645

Other Names 1

Doing Business AsMoon Implants & Perio

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Perio Implant Moon LLC's NPI number?

The NPI number for Perio Implant Moon LLC is 1306732318. It was assigned to this organization in the NPPES registry on June 16, 2025. The provider is doing business as Moon Implants & Perio.

Where is Perio Implant Moon LLC located?

Perio Implant Moon LLC is located at 160 Summit Ave Ste 206, Montvale, NJ 07645. The listed phone number is (551) 322-6385.

What is Perio Implant Moon LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Perio Implant Moon LLC was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.