Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRAD J CONVISSAR, DMD
ActiveDR. BRAD J CONVISSAR, DMD is a General Dentistry healthcare provider located in MOUNT LAUREL, New Jersey. NPI 1316009871 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MOUNT LAUREL, NJ
Registration Details
- NPI Number
- 1316009871
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 14, 2006 (19.63383100253 yrs)
- Last Updated
- Dec 31, 2021
- License
-
22DI02233900 (NJ)
Practice Information
- Address
-
2 RANCOCAS BLVDMOUNT LAUREL, NJ, 080542057Browse NJ providers · Browse ZIP 08054
- Phone
- 8567788655
- Fax
- 8562317480
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in MOUNT LAUREL, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. STEVEN C MOSHEN | D.M.D. | 1528010949 |
| DR. ISABELLA SADIQ | DDS | 1396759155 |
| DR. JOSEPH B PINO | DMD | 1073523023 |
| DR. GERALD STEVEN CONVISSAR | DDS | 1336200518 |
| DR. ROBERT CHASE | D.M.D. | 1518002526 |
| DR. MICHAEL KOPLIN | DMD | 1184740029 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.