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

Minan Mansour, DMD

Individual provider Dentist · NPI 1689368276

Minan Mansour, DMD is a Dentist in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2023.

Licensed in
AZ
In the registry since
2023
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1901 S Signal Butte Rd Ste 107
Mesa, AZ 85209-2601
Phone: (480) 305-0877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D011809 (AZ)

Record details

NPI number1689368276
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 6, 2023
Last updated in NPPESJune 6, 2023
Certification dateJune 6, 2023
Mailing address5831 E Grove Ave, Mesa, AZ 85206-5537

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