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

Dr. Conner Jerry Nielsen, DDS

Individual provider Dentist · NPI 1730815309

Dr. Conner Jerry Nielsen, DDS is a Dentist in Fresno, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
2
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

155 N Fresno St
Fresno, CA 93701-2302
Phone: (559) 459-4182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 107665 (CA)
Dentist Taxonomy 122300000X · Licence 107665 (CA)

Record details

NPI number1730815309
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 26, 2022
Last updated in NPPESMarch 27, 2023
Certification dateMarch 27, 2023
Mailing address11028 Campus St, Loma Linda, CA 92354-2705

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