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

Dr. Aya Mansour

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1629813688

Dr. Aya Mansour is an Orthodontics and Dentofacial Orthopedics Dentistry in Willowick, Ohio. Licensed in Florida, Illinois, Ohio and Texas. Registered with an NPI since 2024.

Licensed in
FL, IL, OH, TX
In the registry since
2024
Specialties on file
4

Practice location Address checks out

29100 Lake Shore Blvd
Willowick, OH 44095-4659
Phone: (812) 706-9795
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 30.027686 (OH)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence DN25100 (FL)
Dentist Taxonomy 122300000X · Licence 019035024 (IL)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 40742 (TX)

Record details

NPI number1629813688
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 1, 2024
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address38080 Tamarac Blvd Apt 206, Willoughby, OH 44094-3446