Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY J CONVISSAR DMD PA
Active OrganizationDental Clinic · MOUNT LAUREL, NJ
Registration Details
- NPI Number
- 1316607757
- Provider Type
- Organization
- NPI Issued
- Dec 27, 2021 (4.3358489850673 yrs)
- Last Updated
- Dec 27, 2021
Practice Information
- Address
-
2 RANCOCAS BLVDMOUNT LAUREL, NJ, 080542057Browse NJ providers · Browse ZIP 08054
- Phone
- 8567788655
- Primary Specialty
-
Dental Clinic
261QD0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.