Bradley J Convissar Dmd Pa

LBN: Bradley J Convissar Dmd Pa
Bradley J Convissar Dmd Pa is an health care organization with primary practice located at 2 Rancocas Blvd , Mount Laurel NJ 08054-2057. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Bradley J Convissar Dmd Pa can be contacted via phone (856) 778-8655, or through Convissar, Bradley J via phone (856) 778-8655.

Contact Information

Primary practice address
2 Rancocas Blvd Mount Laurel NJ 08054-2057
Phone: (856) 778-8655
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Convissar, Bradley J Doctor of Dental Medicine (DMD)
Phone: (856) 778-8655

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1316607757
LBN Legal business name Bradley J Convissar Dmd Pa
DBA Doing business as
Authorized official Convissar, Bradley J Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2021
Last updated Dec 27th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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