OrganizationActive
Bradley J Convissar DMD PA
NPI 1316607757 · Dental Clinic/Center · Mount Laurel, NJ
Bradley J Convissar DMD PA is a Dental Clinic/Center organization in Mount Laurel, NJ (NPI 1316607757).
Provider details
- NPI number
- 1316607757
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bradley Convissar, President(856) 778-8655
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2 Rancocas Blvd
Mount Laurel, NJ 08054-2057
Phone: (856) 778-8655
Street-level locationGet directions
Mailing address
2 Rancocas Blvd
Mount Laurel, NJ 08054-2057
Registry dates
- Enumerated
- 2021-12-27
- Last updated
- 2021-12-27
- Certified
- 2021-12-27
Frequently asked questions
- What is Bradley J Convissar DMD PA's NPI number?
- Bradley J Convissar DMD PA's National Provider Identifier (NPI) is 1316607757, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bradley J Convissar DMD PA?
- Bradley J Convissar DMD PA is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bradley J Convissar DMD PA located?
- Bradley J Convissar DMD PA's practice location on file with NPPES is 2 Rancocas Blvd, Mount Laurel, NJ 08054-2057.
- What is Bradley J Convissar DMD PA's phone number?
- The practice phone number listed in the NPPES registry for Bradley J Convissar DMD PA is (856) 778-8655.
- Who is the authorized official for Bradley J Convissar DMD PA?
- The authorized official listed on Bradley J Convissar DMD PA's NPPES record is Bradley Convissar, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bradley J Convissar DMD PA's NPI active?
- Yes — Bradley J Convissar DMD PA's NPI (1316607757) is active in the NPPES registry as of the last update on 2021-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.