Individual provider · Type 1 NPI

John Moon

General Practice Dentistry · Lakewood, NJ

NPI number 1114729290 Active

Practice location

101 2nd St
Lakewood, NJ 08701-3324

Call (732) 363-6655 Map

Mailing address

207 Denver Rd
Paramus, NJ 07652-3205

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X22DI03164600 (NJ)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1114729290

John Moon's National Provider Identifier is 1114729290, issued on Mar 27, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lakewood, NJ. The record was last updated on Sep 10, 2026.