Convery Dental Associates

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

CONVERY DENTAL ASSOCIATES

Practice address

1107 Convery Blvd
Perth Amboy, NJ 00861

Phone

(732) 442-0037

Fax

(732) 442-3543

NPI assigned

Feb 7, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lucy S Bucior

Title

Office Manager

Phone

(732) 442-0037

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1629118146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 CONVERY BLVD",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "00861",
            "telephone_number": "732-442-0037",
            "fax_number": "732-442-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 CONVERY BLVD",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "00861",
            "telephone_number": "732-442-0037",
            "fax_number": "732-442-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVERY DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BUCIOR",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-442-0037"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dane E Clarke, MD
• Laila Colicchio, O.D.
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• Gabriela Andrea Concepcion Corcino, DC
• Confident Care Corp
• Convery Doctors and PT
• Maryann Cook, APN
• Tonya X Cook, D.M.D.
• Corderro Soul Massage (Dsmassagespro)
• Mariel Cortez

• Periodontics in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.