Abigail Anne Mazon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE61178650 Issued in WA

Practice address

290 N Wayte LN Ste 2500
Fresno, CA 93701-2124

Phone

(559) 459-6927

NPI assigned

Mar 30, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Andrea M. Price, DDS, PLLC

  • General Practice Dentistry
  • Shoreline, WA
  • NPI 1336894732
  NPD
• Megan D Jones, DDS, PLLC

  • Dental Clinic/Center
  • Shoreline, WA
  • NPI 1013707686
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1366947368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18550 FIRLANDS WAY N STE 200",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333984",
            "telephone_number": "206-546-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 N WAYTE LN STE 2500",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012124",
            "telephone_number": "559-459-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZON",
        "first_name": "ABIGAIL ANNE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032038",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61178650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mays-Soto
• Jasmine Elaine Mays, DOULA
• Benilda B Mayugba
• Mara Kate Mazanec
• David Mazariegos, M.D.
• Dorothy K. Mazurek, RN, CCM
• Patrick Mazzei, D.D.S.
• Lisa M Mazzola, OTRL
• MB Dual Diagnosis
• Christopher James McAdams

• Dentist in Fresno, CA
• Providers in Fresno, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.