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DR. GERALD STEVEN CONVISSAR DDS
NPI 1336200518
Dentist - General Practice in Mount Laurel, NJ

Active since December 12, 2006
2 RANCOCAS BLVD, MOUNT LAUREL, NJ 08054(856) 778-8655(856) 231-7480 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gerald Steven Convissar Dds NPPES

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

DR. GERALD STEVEN CONVISSAR DDS (NPI 1336200518) is an individual general practice provider in Mount Laurel, New Jersey, licensed in New Jersey (22DI01196800) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1336200518
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GERALD STEVEN CONVISSARCredential: DDS
Location Address2 RANCOCAS BLVDMount Laurel, NJ 08054
Mailing Address1373 Heartwood DriveCherry Hill, NJ 08003 · (856) 354-1986
Phone(856) 778-8655
Fax(856) 231-7480
Sole ProprietorNo
Enumeration DateDecember 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1336200518 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 · 22DI01196800
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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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.

DR. BRAD J CONVISSAR DMD
Dentist (General Practice)
2 RANCOCAS BLVD
MOUNT LAUREL, NJ 08054
Burlington County (856) 778-8655
BRADLEY J CONVISSAR DMD PA
Clinic/Center (Dental)
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 Gerald Convissar's NPI number?

The NPI number for Gerald Convissar is 1336200518. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Gerald Convissar located?

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

What is Gerald Convissar's specialty?

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

When was this NPI record last updated?

The NPPES record for Gerald Convissar was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.