Gerald S. Convissar DDS PA

Gerald S. Convissar DDS PA is a healthcare organization registered as General Practice Dentistry in Mount Laurel, NJ, holding Type 2 (organization) NPI 1750443206 since 2006. The authorized official on file is Gerald Convissar, President.

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NPI	1750443206
Entity type	Organization (Type 2)
Legal business name	Gerald S. Convissar DDS PA
Other name	<Unavail>
Practice address	2 RANCOCAS BLVD, Mount Laurel, NJ, 08054
Phone	8567788655
Fax	8562317480
Enumeration date	2006-12-14
Last updated in NPPES	2020-08-22

Authorized official

Name	Gerald Convissar
Title	President
Phone	8567788655

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1223G0001X	General Practice Dentistry	Primary	22DI01196800	NJ

Copy-ready billing details

Provider: Gerald S. Convissar DDS PA
NPI: 1750443206
Taxonomy: 1223G0001X (General Practice Dentistry)
Address: 2 RANCOCAS BLVD, Mount Laurel, NJ, 08054

Providers at this address

NPI	Name	Type	Specialty	Location
1336200518	Gerald Convissar	Individual	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 1750443206 against the authoritative CMS record: view Gerald S. Convissar DDS PA 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

Where is Gerald S. Convissar DDS PA located?

The practice location on file with NPPES is in Mount Laurel, NJ.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.