Dr. Gerald Steven Convissar, DDS
Dr. Gerald Steven Convissar is a General Practice Dentistry provider (Dentist) practicing in Mount Laurel, NJ, registered in the NPPES registry with NPI 1336200518 since 2006. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1336200518 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Gerald Steven Convissar |
| Credential | DDS |
| Sex | Male |
| Practice address | 2 RANCOCAS BLVD, Mount Laurel, NJ, 08054 |
| Phone | 8567788655 |
| Fax | 8562317480 |
| Enumeration date | 2006-12-12 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 22DI01196800 | NJ |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Gerald Convissar, DDS NPI: 1336200518 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 2 RANCOCAS BLVD, Mount Laurel, NJ, 08054
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1750443206 | Gerald S. Convissar DDS PA | Organization | General Practice Dentistry | Mount Laurel, NJ |
| 1316009871 | Brad Convissar | Individual | General Practice Dentistry | Mount Laurel, NJ |
| 1316607757 | Bradley J Convissar Dmd PA | Organization | Dental Clinic/Center | Mount Laurel, NJ |
Verify this record
Cross-check NPI 1336200518 against the authoritative CMS record: view Dr. Gerald Steven Convissar on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.