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

Mahtab Mansour, DDS

Individual provider Dentist · NPI 1528739968

Mahtab Mansour, DDS is a Dentist in Olympia, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2021
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.

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Practice location Address checks out

4210 Martin Way E Ste 101
Olympia, WA 98516-5325
Phone: (360) 455-9544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 61198534 (WA)

Record details

NPI number1528739968
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 24, 2021
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025
Mailing address4210 Martin Way E Ste 101, Olympia, WA 98516-5325

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