Organization · Type 2 NPI
Perio Implant Moon LLC
Periodontics · Montvale, NJ
NPI number
1306732318
Active
Practice location
160 Summit Ave Ste 206
Montvale, NJ 07645-1763
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
Periodontics: 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.
About NPI 1306732318
Perio Implant Moon LLC's National Provider Identifier is 1306732318, issued on Jun 16, 2025. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Montvale, NJ. The record was last updated on Jun 25, 2025.