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

Kooroush Mansourzadeh, DDS

Individual provider Dentist · NPI 1417309790

Kooroush Mansourzadeh, DDS is a Dentist in Kent, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2016
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.

See every abbreviation used in this directory →

Practice location Address checks out

12906 SE Kent Kangley Rd
Kent, WA 98030-7940
Phone: (253) 361-3015
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DE60655131 (WA)

Record details

NPI number1417309790
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 11, 2016
Last updated in NPPESJuly 11, 2016

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