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Active NPI 1316009871 Individual Practitioner Male Practitioner

Dr. Brad J Convissar , DMD

Dentist - General Practice • Mount Laurel, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Brad Convissar, DMD is a registered healthcare professional specializing in Dentist - General Practice in Mount Laurel, NJ. Practice services are available at 2 RANCOCAS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2 Rancocas Blvd

Mount Laurel, NJ 080542057

Telephone 8567788655
Fax 8562317480
Associated Practice Facility / Clinic
🏢 Gerald S. Convissar Dds Pa Facility NPI 1750443206

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mount Laurel, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
16 Specialists

Practicing in Mount Laurel, NJ (4316 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-12-31
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ 22DI02233900

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Gerald Convissar , DDS

Dentist - General Practice

NPI 1336200518

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2 RANCOCAS BLVD, MOUNT LAUREL, NJ 080542057 (Tel: 8567788655)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1950 BIRCHWOOD PARK DR N, CHERRY HILL, NJ 080031026 (Tel: 8567511226)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BRAD CONVISSAR, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #22DI02233900 in NJ)

🟢
Initial NPI Registration & Enumeration December 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316009871
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2006
Last Update: December 31, 2021
Sole Proprietor: No
Update or Correct Profile

Mailing Address

1950 Birchwood Park Dr N

Cherry Hill, NJ 080031026

Phone: 8567511226

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.