OrganizationActive
Gerald S. Convissar DDS PA
NPI 1750443206 · General Practice Dentistry · Mount Laurel, NJ
Gerald S. Convissar DDS PA is a General Practice Dentistry organization in Mount Laurel, NJ (NPI 1750443206).
Provider details
- NPI number
- 1750443206
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Gerald Convissar, President(856) 778-8655
- License
- 22DI01196800 (NJ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Fax: (856) 231-7480
Street-level locationGet directions
Mailing address
1373 Heartwood Dr
Cherry Hill, NJ 08003-2741
Other names (DBA / former)
- Other name
- Rancocas Woods Family Dentistry
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2020-08-22
Frequently asked questions
- What is Gerald S. Convissar DDS PA's NPI number?
- Gerald S. Convissar DDS PA's National Provider Identifier (NPI) is 1750443206, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gerald S. Convissar DDS PA?
- Gerald S. Convissar DDS PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Gerald S. Convissar DDS PA located?
- Gerald S. Convissar DDS PA's practice location on file with NPPES is 2 Rancocas Blvd, Mount Laurel, NJ 08054-2057.
- What is Gerald S. Convissar DDS PA's phone number?
- The practice phone number listed in the NPPES registry for Gerald S. Convissar DDS PA is (856) 778-8655.
- Who is the authorized official for Gerald S. Convissar DDS PA?
- The authorized official listed on Gerald S. Convissar DDS PA's NPPES record is Gerald Convissar, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gerald S. Convissar DDS PA's NPI active?
- Yes — Gerald S. Convissar DDS PA's NPI (1750443206) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.