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: July 19, 2026.

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

  • Organization
  • Dentist
  • Periodontics

About PERIO IMPLANT MOON LLC

This page provides the complete NPI Profile along with additional information for Perio Implant Moon Llc, a provider established in Montvale, New Jersey operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1306732318 assigned on June 2025. The practitioner's primary taxonomy code is 1223P0300X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Laura Moon Dds (Owner)

NPI
1306732318 Verify this NPI
Provider Name
PERIO IMPLANT MOON LLC
Other Name Type
(6)
Entity Type
Organization
Location Address
160 SUMMIT AVE STE 206 MONTVALE, NJ 07645
Location Phone
(551) 322-6385
Mailing Address
160 SUMMIT AVE STE 206 MONTVALE, NJ 07645
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-16-2025
Last Update Date
06-25-2025
Code Navigator

A dentist like Perio Implant Moon Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LAURA MOON DDS

Authorized Official Title
OWNER
Authorized Official Phone
(551) 322-6385

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306732318, enumerated as an "organization" on June 16, 2025.

The provider is located at 160 SUMMIT AVE STE 206 MONTVALE, NJ 07645 and the phone number is (551) 322-6385.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.