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MAHTAB MANSOUR DDS
NPI 1528739968
Dentist in Olympia, WA

Active since September 24, 2021
4210 MARTIN WAY E STE 101, OLYMPIA, WA 98516(360) 455-9544 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2025, Sep 24, 2021 (2 updates tracked since 2021).

About Mahtab Mansour Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAHTAB MANSOUR DDS (NPI 1528739968) is an individual dentist in Olympia, Washington, licensed in Washington (61198534) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1528739968
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMAHTAB MANSOURCredential: DDS
Location Address4210 MARTIN WAY E STE 101Olympia, WA 98516-5325
Mailing Address4210 Martin Way E Ste 101Olympia, WA 98516-5325 · (360) 455-9544
Phone(360) 455-9544
Sole ProprietorYes
Enumeration DateSeptember 24, 2021
Last NPPES UpdateDecember 19, 20252 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1528739968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · 61198534
Definition
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4210 MARTIN WAY E STE 101, Olympia, WA 98516
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SEOK-WON (SEAN) CHANG DMD
Dentist (General Practice)
4210 MARTIN WAY E STE 101
OLYMPIA, WA 98516
Thurston County (360) 455-9544
NURANI, MITCHELL, KIM, PC
Dentist
4210 MARTIN WAY E STE 101
OLYMPIA, WA 98516
Thurston County (360) 455-9544

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mahtab Mansour's NPI number?

The NPI number for Mahtab Mansour is 1528739968. It was assigned to this individual provider in the NPPES registry on September 24, 2021.

Where is Mahtab Mansour located?

Mahtab Mansour practices at 4210 Martin Way E Ste 101, Olympia, WA 98516. The listed phone number is (360) 455-9544.

What is Mahtab Mansour's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Mahtab Mansour accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Mahtab Mansour as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mahtab Mansour was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.