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DR. BRAD J CONVISSAR DMD
NPI 1316009871
Dentist - General Practice in Mount Laurel, NJ

Active since December 14, 2006
2 RANCOCAS BLVD, MOUNT LAUREL, NJ 08054(856) 778-8655(856) 231-7480 Get Directions Write a Review

NPPES record last updated: December 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brad J Convissar Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRAD J CONVISSAR DMD (NPI 1316009871) is an individual general practice provider in Mount Laurel, New Jersey, licensed in New Jersey (22DI02233900) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1316009871
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRAD J CONVISSARCredential: DMD
Location Address2 RANCOCAS BLVDMount Laurel, NJ 08054-2057
Mailing Address1950 Birchwood Park Dr NCherry Hill, NJ 08003-1026 · (856) 751-1226
Phone(856) 778-8655
Fax(856) 231-7480
Sole ProprietorNo
Enumeration DateDecember 14, 2006
Last NPPES UpdateDecember 31, 2021
NPPES CertifiedDecember 31, 2021
✔ NPI 1316009871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NJ · 22DI02233900
Definition
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.
2 RANCOCAS BLVD, Mount Laurel, NJ 08054
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRADLEY J CONVISSAR DMD PA
Clinic/Center (Dental)
2 RANCOCAS BLVD
MOUNT LAUREL, NJ 08054
Burlington County (856) 778-8655
DR. GERALD STEVEN CONVISSAR DDS
Dentist (General Practice)
2 RANCOCAS BLVD
MOUNT LAUREL, NJ 08054
Burlington County (856) 778-8655
GERALD S. CONVISSAR DDS PA
Dentist (General Practice)
2 RANCOCAS BLVD
MOUNT LAUREL, NJ 08054
Burlington County (856) 778-8655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brad Convissar's NPI number?

The NPI number for Brad Convissar is 1316009871. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Brad Convissar located?

Brad Convissar practices at 2 Rancocas Blvd, Mount Laurel, NJ 08054. The listed phone number is (856) 778-8655.

What is Brad Convissar's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Brad Convissar accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Brad Convissar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brad Convissar was last updated on December 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.