Moon Family and Cosmetic Dental, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

DS039364 Issued in PA

Legal business name

MOON FAMILY AND COSMETIC DENTAL, P.C.

Doing business as

Moon Dental

Practice address

960 Beaver Grade Rd
Moon Township, PA 15108-2718

Phone

(412) 262-3190

NPI assigned

Jul 11, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Luke, DDS

Title

President

Phone

(412) 262-3190

Specialties & licenses 1

Addresses

Other names 1

• Moon Dental Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1447691084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 BEAVER GRADE RD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 BEAVER GRADE RD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082718",
            "telephone_number": "412-262-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON FAMILY AND COSMETIC DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "LUKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-262-3190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moon Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Katlyn Miller, LPC, NCC
• Zackary Miller, PHARMD
• Courtney Elizabeth Milstead, MA, LPC
• Daria Marie Minton, LMFT
• Vanilakshmi Mithipati, MD
• April Marie Morris, LPC
• Jeffrey B Mulholland, MD
• Vivian Tifuh Munakwa-Njah
• Jenna E Muraco, CRNP
• Paige Kunz Murrer, DMD

• Dentist in Moon Township, PA
• Providers in Moon Township, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.