Individual provider · Type 1 NPI

Mahtab Mansour, DDS

Dentist · Olympia, WA

NPI number 1528739968 Active

Practice location

4210 Martin Way E Ste 101
Olympia, WA 98516-5325

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X61198534 (WA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1528739968

Mahtab Mansour, DDS's National Provider Identifier is 1528739968, issued on Sep 24, 2021. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Olympia, WA. The record was last updated on Dec 19, 2025.