Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366947368 Individual Practitioner Female Practitioner

Dr. Abigail Anne Mazon , DDS

Dentist • Fresno, CA

Professional Overview & Biography Verified Profile Summary

Dr. Abigail Anne Mazon, DDS is a registered healthcare professional specializing in Dentist in Fresno, CA. Practice services are available at 290 N WAYTE LN STE 2500 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

290 N Wayte Ln Ste 2500

Fresno, CA 937012124

Telephone 5594596927
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
193 Specialists

Practicing in Fresno, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-04
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE61178650

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License IL 019.032038

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1043717036

Doctor of Dental Medicine

Dr. Manjinder Dhaliwal , DDS

Dentist - General Practice

NPI 1053975755

Doctor of Dental Surgery

Dr. Oskar Peikar , DDS

Student in an Organized Health Care Education/Training Program

NPI 1679193817

Doctor of Dental Surgery

NPI 1790307023

Doctor of Dental Surgery

Dr. Eric Rabey , DDS

Student in an Organized Health Care Education/Training Program

NPI 1881071371

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location June 04, 2025

Registered at 290 N WAYTE LN STE 2500, FRESNO, CA 937012124 (Tel: 5594596927)

📍
Updated Business Mailing Address June 04, 2025

Registered at 18550 FIRLANDS WAY N STE 200, SHORELINE, WA 981333984 (Tel: 2065464161)

👤
Provider Name / Credentials Updated June 04, 2025

Recorded as ABIGAIL ANNE MAZON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2025

Dentist (License #019.032038 in IL)

📍
Updated Practice Location August 20, 2019

Registered at 4408 W LAWRENCE AVE, CHICAGO, IL 606302511 (Tel: 7732866676)

📍
Updated Business Mailing Address August 20, 2019

Registered at 4408 W LAWRENCE AVE, CHICAGO, IL 606302511

NPI Profile Active March 30, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2018

Registered at 290 N WAYTE LN STE 2500, FRESNO, CA 937012124 (Tel: 5594596927)

📍
Updated Business Mailing Address March 30, 2018

Registered at 290 N WAYTE LN STE 2500, FRESNO, CA 937012124

👤
Provider Name / Credentials Updated March 30, 2018

Recorded as ABIGAIL ANNE MAZON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 30, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366947368
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2018
Last Update: June 04, 2025
Sole Proprietor: No

Mailing Address

18550 Firlands Way N Ste 200

Shoreline, WA 981333984

Phone: 2065464161

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.