BRADLEY J CONVISSAR DMD PA
NPI 1316607757
Clinic/Center - Dental in Mount Laurel, NJ

Active since December 27, 2021
2 RANCOCAS BLVD, MOUNT LAUREL, NJ 08054(856) 778-8655 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley J Convissar Dmd Pa NPPES

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

BRADLEY J CONVISSAR DMD PA (NPI 1316607757) is a healthcare organization registered as a dental in Mount Laurel, New Jersey and active in the NPI registry since December 2021. The organization lists Bradley J Convissar, President, as its authorized official.

NPPES Registry Identity

NPI1316607757
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBRADLEY J CONVISSAR DMD PA
Location Address2 RANCOCAS BLVDMount Laurel, NJ 08054-2057
Mailing Address2 Rancocas BlvdMount Laurel, NJ 08054-2057 · (856) 778-8655
Organization SubpartNo
Authorized OfficialBradley J ConvissarPresident · (856) 778-8655
Enumeration DateDecember 27, 2021
NPPES CertifiedDecember 27, 2021
NPI 1316607757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2 RANCOCAS BLVD, Mount Laurel, NJ 08054

Accepted 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.

Dentist (General Practice)
2 RANCOCAS BLVD
MOUNT LAUREL, NJ 08054
Dentist (General Practice)
2 RANCOCAS BLVD
MOUNT LAUREL, NJ 08054
Dentist (General Practice)
2 RANCOCAS BLVD
MOUNT LAUREL, NJ 08054

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 Bradley J Convissar Dmd PA's NPI number?

The NPI number for Bradley J Convissar Dmd PA is 1316607757. It was assigned to this organization in the NPPES registry on December 27, 2021.

Where is Bradley J Convissar Dmd PA located?

Bradley J Convissar Dmd PA is located at 2 Rancocas Blvd, Mount Laurel, NJ 08054. The listed phone number is (856) 778-8655.

What is Bradley J Convissar Dmd PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Bradley J Convissar Dmd PA accept?

Health plans from UnitedHealthcare list Bradley J Convissar Dmd PA 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 Bradley J Convissar Dmd PA was last updated on December 27, 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.