Phonsuda Chanthavisouk, RDH, MDT
Dental Therapist · Minneapolis, MN
Phonsuda Chanthavisouk, RDH, MDT is a dental therapist with a practice address in Minneapolis, Minnesota, and NPI 1548844053, issued on May 11, 2021. Check the license (Minnesota DT137, as entered in NPPES) with the Minnesota board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Phonsuda Chanthavisouk
- Credential
- RDH, MDT
- Primary taxonomy
- Dental Therapist 125J00000X
- License numbers
- DT137 MN
H11002 MN
Self-reported in NPPES; status is on the state search - Practice location
- 728 E Hennepin Ave, Minneapolis, MN 55414
- Phone
- (612) 746-1530
- Enumerated
- May 11, 2021
- Entity
- Type 1 · individual
Also registered at 728 E Hennepin Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Chee Lor, DENTAL THERAPISTDental Therapist1619606845
Verify Phonsuda Chanthavisouk in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license DT137Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
Dental Therapist providers in Minnesota
There are 91 dental therapist records in Minnesota. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other dental therapist records in Minnesota
- Ayaa Al MosawiMaple Grove, MN1588536098
- Jason AllredWadena, MN1043558984
- Katie Ask, MDTSavage, MN1992288781
- Theresa Aymond, DTRichfield, MN1851800429
- Jodi BeckerMinneapolis, MN1164830949
- Megan Becker, MDTMaple Grove, MN1013395136
- Jarvaris BennettMontevideo, MN1770057184
- Karen BirdSaint Paul, MN1871322834
- Nicole Blake, RDH/DTNorth Mankato, MN1518849603
- Karen BohnenSavage, MN1184010704
Common questions
What is Phonsuda Chanthavisouk, RDH, MDT's NPI number?
Phonsuda Chanthavisouk, RDH, MDT's National Provider Identifier (NPI) is 1548844053, issued on May 11, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Phonsuda Chanthavisouk, RDH, MDT located?
The NPPES record lists a practice address at 728 E Hennepin Ave, Minneapolis, MN, 55414. Phone: (612) 746-1530. Providers update this record themselves, so call before visiting.
How can I verify Phonsuda Chanthavisouk, RDH, MDT's license?
NPPES lists Minnesota license number DT137, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.