Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Canon Larson Nielsen, DDS

Individual provider General Practice Dentistry · NPI 1568706497

Dr. Canon Larson Nielsen, DDS is a General Practice Dentistry in Ventura, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

5700 Ralston St Ste 303
Ventura, CA 93003-6050
Phone: (805) 656-8884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 62052 (CA)

Record details

NPI number1568706497
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 15, 2012
Last updated in NPPESNovember 15, 2012
Mailing address5700 Ralston St, Suite 303, Ventura, CA 93003-6050

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