Abigail Jackie Mohamed, DDS

General Practice Dentistry · Ontario, OR

Individual Active NPI

NPI number 1053797746

Practice location

2327 SW 4TH Ave
Ontario, OR 97914-1851
Phone
(541) 889-0052
Fax
(541) 889-0990

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NPI record

NPI
1053797746
Entity type
Individual (Type 1)
Enumeration date
August 4, 2015
Last updated
January 14, 2026
Certified
January 14, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D10309 OR
General Practice Dentistry 1223G0001X D4685 ID

Mailing address

1441 NE 10TH Ave
Payette, ID 83661-5420
Phone
(208) 642-9376
Fax
(208) 642-9279

About Dr. Mohamed

Abigail Jackie Mohamed, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2327 SW 4TH Ave, Ontario, OR 97914-1851. The NPI number 1053797746 was assigned on August 4, 2015 and the record was last updated on January 14, 2026.

Dr. Mohamed lists 2 licenses in the registry: #D10309 (OR) for General Practice Dentistry; #D4685 (ID) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Abigail Jackie Mohamed, DDS?

The NPI number is 1053797746.

What is the phone number of Dr. Mohamed?

The phone number listed for the practice location is (541) 889-0052.

Where is Dr. Mohamed located?

2327 SW 4TH Ave, Ontario, OR 97914-1851.

What is the taxonomy code for Dr. Mohamed?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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