Individual provider · Type 1 NPI
Kamolphob Phasuk, DDS
Prosthodontics · Carmel, IN
NPI number
1447638648
Active
Practice location
11405 Pennsylvania St Ste 110
Carmel, IN 46032-6905
Other practice locations
- 1121 W Michigan St, Indianapolis, IN 46202-5211 · (317) 274-7433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | 12013111A (IN) |
| General Practice Dentistry | 1223G0001X | 38774 (TX) |
| Prosthodontics | 1223P0700X | 38774 (TX) |
| Dentist | 122300000X | 38774 (TX) |
| Dentist | 122300000X | 12013111A (IN) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Other prosthodontics providers in Carmel
About NPI 1447638648
Kamolphob Phasuk, DDS's National Provider Identifier is 1447638648, issued on May 8, 2015. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Carmel, IN. The record was last updated on Dec 11, 2025.