DR. CONNER JERRY NIELSEN DDS
NPI 1730815309
Dentist - Oral and Maxillofacial Surgery in Fresno, CA
- Individual
- Male
- Dentist
- Oral and Maxillofacial Surgery
About CONNER NIELSEN
This page provides the complete NPI Profile along with additional information for Conner Nielsen, a provider established in Fresno, California with a medical specialization in Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1730815309 assigned on July 2022. The practitioner's primary taxonomy code is 1223S0112X with license number 107665 (CA). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1730815309 Verify this NPI
- Provider Name
- DR. CONNER JERRY NIELSEN DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 155 N FRESNO ST FRESNO, CA 93701
- Location Phone
- (559) 459-4182
- Mailing Address
- 11028 CAMPUS ST LOMA LINDA, CA 92354
- Mailing Phone
- (714) 788-6690
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-26-2022
- Last Update Date
- 03-27-2023
- Code Navigator
A dentist like Conner Nielsen is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- License No.
- 107665
- License State
- CA
- Taxonomy Description
- An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 122300000X | Dental Providers | Dentist | 107665 (CA) |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FRESNO, CA 93701
FRESNO, CA 93701
FRESNO, CA 93701
FRESNO, CA 93701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730815309, enumerated as an "individual" on July 26, 2022.
The provider is located at 155 N FRESNO ST FRESNO, CA 93701 and the phone number is (559) 459-4182.
Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.
