Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Brad J Convissar, DMD

Individual provider General Practice Dentistry · NPI 1316009871

Dr. Brad J Convissar, DMD is a General Practice Dentistry in Mount Laurel, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

2 Rancocas Blvd
Mount Laurel, NJ 08054-2057
Phone: (856) 778-8655
Fax: (856) 231-7480
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 22DI02233900 (NJ)

Record details

NPI number1316009871
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedDecember 14, 2006
Last updated in NPPESDecember 31, 2021
Certification dateDecember 31, 2021
Mailing address1950 Birchwood Park Dr N, Cherry Hill, NJ 08003-1026

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