Perio Implant Moon LLC
Dentist, Periodontics in Montvale, New Jersey
1306732318- Practice location
- 160 Summit Ave Ste 206, Montvale, NJ 07645-1763
- Phone
- 551-322-6385
- Fax
- —
- Last updated
- June 25, 2025
Perio Implant Moon LLC is a healthcare organization based in Montvale, NJ. Perio Implant Moon LLC practices in Montvale, NJ. The NPI Number for Perio Implant Moon LLC is 1306732318. The current practice location address for Perio Implant Moon LLC is 160 Summit Ave Ste 206, Montvale, NJ 07645-1763 and can be reached out via phone at 551-322-6385.
Provider Profile Details
- NPI Number
- 1306732318
- Provider Name
- Perio Implant Moon LLC
- Provider Entity Type
- Organization
- Address
- 160 Summit Ave Ste 206, Montvale, NJ 07645-1763
- Phone Number
- 551-322-6385
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Organization Subpart
- No
- Authorized Official
- Dr. Laura Moon, DDS · Owner · 551-322-6385
- Other Names
- Moon Implants & Perio (Doing Business As)
- Provider Enumeration Date
- June 16, 2025
- Last Update Date
- June 25, 2025
- Certification Date
- June 25, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 160 Summit Ave Ste 206
Montvale, NJ 07645-1763 - City
- Montvale
- State
- New Jersey
- Zip
- 07645-1763
- Phone Number
- 551-322-6385
Provider Business Mailing Address Details
- Address
- 160 Summit Ave Ste 206
Montvale, NJ 07645-1763 - City
- Montvale
- State
- NJ
- Zip
- 07645-1763
License Information
- Taxonomy
- Dentist, Periodontics · 1223P0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Karis A Pasley, NPNurse Practitioner, Family · NPI 1639152762
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Frequently Asked Questions
What is the NPI number of Perio Implant Moon LLC?
The NPI number of Perio Implant Moon LLC is 1306732318. It was assigned on June 16, 2025 and is currently active in the NPPES registry.
What is the specialty of Perio Implant Moon LLC?
Perio Implant Moon LLC is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X).
Where does Perio Implant Moon LLC practice?
The practice location is 160 Summit Ave Ste 206, Montvale, NJ 07645-1763. The office can be reached at 551-322-6385 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306732318 directly on the NPPES registry website.