Individual provider · Type 1 NPI

Conner Jerry Nielsen, DDS

Oral and Maxillofacial Surgery (Dentist) · Fresno, CA

NPI number 1730815309 Active

Practice location

155 N Fresno St
Fresno, CA 93701-2302

Call (559) 459-4182 Map

Mailing address

11028 Campus St
Loma Linda, CA 92354-2705

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X107665 (CA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X107665 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

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About NPI 1730815309

Conner Jerry Nielsen, DDS's National Provider Identifier is 1730815309, issued on Jul 26, 2022. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fresno, CA. The record was last updated on Mar 27, 2023.