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Phonsuda Chanthavisouk, RDH, MDT
NPI 1548844053 · Dental Therapist · Minneapolis, MN
Phonsuda Chanthavisouk, RDH, MDT is a Dental Therapist provider in Minneapolis, MN (NPI 1548844053).
Provider details
- NPI number
- 1548844053
- Entity type
- Individual
- Primary specialty
- Dental TherapistDental Providers
- Credential
- RDH, MDT
- Sex
- Female
- Sole proprietor
- No
- License
- DT137 (MN)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
728 E Hennepin Ave
Minneapolis, MN 55414-1126
Phone: (612) 746-1530
Street-level locationGet directions
Mailing address
6145 14th Ave S
Minneapolis, MN 55423-1728
Registry dates
- Enumerated
- 2021-05-11
- Last updated
- 2023-08-08
- Certified
- 2023-08-08
Frequently asked questions
- What is Phonsuda Chanthavisouk's NPI number?
- Phonsuda Chanthavisouk's National Provider Identifier (NPI) is 1548844053, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phonsuda Chanthavisouk's specialty?
- Phonsuda Chanthavisouk is listed in the NPPES registry with a primary specialty of Dental Therapist (Dental Providers).
- Where is Phonsuda Chanthavisouk located?
- Phonsuda Chanthavisouk's practice location on file with NPPES is 728 E Hennepin Ave, Minneapolis, MN 55414-1126.
- What is Phonsuda Chanthavisouk's phone number?
- The practice phone number listed in the NPPES registry for Phonsuda Chanthavisouk is (612) 746-1530.
- Is Phonsuda Chanthavisouk's NPI active?
- Yes — Phonsuda Chanthavisouk's NPI (1548844053) is active in the NPPES registry as of the last update on 2023-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.