DR. CONNER JERRY NIELSEN DDS
NPI 1730815309
Dentist - Oral and Maxillofacial Surgery in Fresno, CA

Active since July 26, 2022
155 N FRESNO ST, FRESNO, CA 93701(559) 459-4182 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 27, 2023, Jul 26, 2022 (2 updates tracked since 2022).

About Dr. Conner Jerry Nielsen Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CONNER JERRY NIELSEN DDS (NPI 1730815309) is an individual oral and maxillofacial surgery provider in Fresno, California, licensed in California (107665) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1730815309
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. CONNER JERRY NIELSENCredential: DDS
Location Address155 N FRESNO STFresno, CA 93701-2302
Mailing Address11028 Campus StLoma Linda, CA 92354-2705 · (714) 788-6690
Sole ProprietorYes
Enumeration DateJuly 26, 2022
Last NPPES UpdateMarch 27, 20232 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
NPI 1730815309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · 107665
Definition
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.
Also ListedDentistTaxonomy 122300000X · License 107665 (CA)
155 N FRESNO ST, Fresno, CA 93701

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
155 N FRESNO ST
FRESNO, CA 93701
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701
Pediatrics (Adolescent Medicine)
155 N FRESNO ST, STE 326
FRESNO, CA 93701
Internal Medicine (Infectious Disease)
155 N FRESNO ST
FRESNO, CA 93701
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conner Nielsen's NPI number?

The NPI number for Conner Nielsen is 1730815309. It was assigned to this individual provider in the NPPES registry on July 26, 2022.

Where is Conner Nielsen located?

Conner Nielsen practices at 155 N Fresno St, Fresno, CA 93701. The listed phone number is (559) 459-4182.

What is Conner Nielsen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Conner Nielsen was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.