Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kamolphob Phasuk, DDS

Individual provider Prosthodontics · NPI 1447638648

Kamolphob Phasuk, DDS is a Prosthodontics in Carmel, Indiana. Practices as a sole proprietor and works from 2 locations. Licensed in Indiana and Texas.

Licensed in
IN, TX
In the registry since
2015
Specialties on file
5
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

11405 Pennsylvania St Ste 110
Carmel, IN 46032-6905
Phone: (317) 574-0866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1121 W Michigan St, Indianapolis, IN 46202-5211 — (317) 274-7433

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 12013111A (IN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 38774 (TX)
Prosthodontics Taxonomy 1223P0700X · Licence 38774 (TX)
Dentist Taxonomy 122300000X · Licence 38774 (TX)
Dentist Taxonomy 122300000X · Licence 12013111A (IN)

Record details

NPI number1447638648
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 8, 2015
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing address11405 Pennsylvania St Ste 110, Carmel, IN 46032-6905

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