Mahtab Mansour, DDS
Dentist · Olympia, WA
Practice location
4210 Martin Way E Ste 101Olympia, WA 98516-5325
- Phone
- (360) 455-9544
NPI record
- NPI
- 1528739968
- Entity type
- Individual (Type 1)
- Enumeration date
- September 24, 2021
- Last updated
- December 19, 2025
- Certified
- December 19, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
61198534 | WA |
About Dr. Mansour
Mahtab Mansour, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 4210 Martin Way E Ste 101, Olympia, WA 98516-5325. The NPI number 1528739968 was assigned on September 24, 2021 and the record was last updated on December 19, 2025.
Dr. Mansour lists a license in the registry: #61198534 (WA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mahtab Mansour, DDS?
The NPI number is 1528739968.
What is the phone number of Dr. Mansour?
The phone number listed for the practice location is (360) 455-9544.
Where is Dr. Mansour located?
4210 Martin Way E Ste 101, Olympia, WA 98516-5325.
What is the taxonomy code for Dr. Mansour?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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