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RANCOCAS WOODS FAMILY DENTISTRY
NPI 1750443206
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: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rancocas Woods Family Dentistry NPPES

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

RANCOCAS WOODS FAMILY DENTISTRY (NPI 1750443206) is a healthcare organization registered as a general practice in Mount Laurel, New Jersey and active in the NPI registry since December 2006. The organization lists Gerald S Convissar, President, as its authorized official.

NPPES Registry Identity

NPI1750443206
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGERALD S. CONVISSAR DDS PA
Location Address2 RANCOCAS BLVDMount Laurel, NJ 08054-2057
Mailing Address1373 Heartwood DrCherry Hill, NJ 08003-2741 · (856) 778-8655 · Fax (856) 231-7480
Phone(856) 778-8655
Fax(856) 231-7480
Organization SubpartNo
Authorized OfficialGerald S ConvissarPresident · (856) 778-8655
Enumeration DateDecember 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1750443206 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 Names 1

Other NameRancocas Woods Family Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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
DR. GERALD STEVEN CONVISSAR DDS
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 S. Convissar Dds PA's NPI number?

The NPI number for Gerald S. Convissar Dds PA is 1750443206. It was assigned to this organization in the NPPES registry on December 14, 2006. The provider is also known as Rancocas Woods Family Dentistry.

Where is Gerald S. Convissar Dds PA located?

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

What is Gerald S. Convissar Dds PA'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 S. Convissar Dds PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.