Bradley J Convissar DMD PA
Bradley J Convissar DMD PA is a Dental Clinic/Center in Mount Laurel, New Jersey. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2 Rancocas BlvdMount Laurel, NJ 08054-2057
Phone: (856) 778-8655
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1316607757 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bradley Convissar — President · (856) 778-8655 |
| NPI enumerated | December 27, 2021 |
| Last updated in NPPES | December 27, 2021 |
| Certification date | December 27, 2021 |
| Mailing address | 2 Rancocas Blvd, Mount Laurel, NJ 08054-2057 |