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Kamolphob Phasuk, D.D.S. — NPI 1447638648, Carmel, IN | NPI Central

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NPI 1447638648

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Kamolphob Phasuk, D.D.S.

NPI 1447638648 · Prosthodontics · Carmel, IN

Provider details

NPI number: 1447638648
Entity type: Individual
Primary specialty: ProsthodonticsDental Providers
Credential: D.D.S.
Sex: Male
Sole proprietor: Yes
License: 12013111A (IN)

Specialties & taxonomies

ProsthodonticsPrimary1223P0700XLicense 12013111A (IN)
Dental Providers
General Practice Dentistry1223G0001XLicense 38774 (TX)
Dental Providers
Prosthodontics1223P0700XLicense 38774 (TX)
Dental Providers
Dentist122300000XLicense 38774 (TX)
Dental Providers
Dentist122300000XLicense 12013111A (IN)
Dental Providers

Practice location

11405 Pennsylvania St Ste 110

Carmel, IN 46032-6905

Phone: (317) 574-0866

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

11405 Pennsylvania St Ste 110

Carmel, IN 46032-6905

Additional practice locations (1)

1121 W Michigan St
Indianapolis, IN 46202-5211
Phone: (317) 274-7433

Registry dates

Enumerated: 2015-05-08
Last updated: 2025-12-11
Certified: 2025-12-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.